Martin Van Sherrill, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

00009166 Issued in AL

Practice address

1105 Jordan LN NW
Huntsville, AL 35816-3027

Phone

(256) 864-2733

Fax

(256) 864-8432

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• bcbs alabama network 01C0
• bcbs alabama network 01E0
• bcbs alabama network 01B0
• bcbs alabama network 01G0

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346393675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 JORDAN LN NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163027",
            "telephone_number": "256-864-2733",
            "fax_number": "256-864-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 JORDAN LN NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163027",
            "telephone_number": "256-864-2733",
            "fax_number": "256-864-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "MARTIN",
        "middle_name": "VAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00009166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherilyn Hay (Twickenham Optical)
• Sherman Anne Dailey, LLC
• Daniel J Sherman, CRNA
• Diki Sherpa
• Emily Claire Sherrill
• Katherine Ruth Sherrouse
• Yinzhi Shi, LMT
• Micah Joel Shields, MA, ALC
• Raven Shields, LPTA
• Amber Noelle Shiflet, CRNP

• Specialist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.