Individual provider Active NPI

Edward Alan Sherwin, M.D.

  • Gastroenterology Physician
  • Scranton, PA
National Provider Identifier
1356388367
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD 033237E Issued in PA
Practice address
517 Ash St
Suite 1
Scranton, PA 18509-2902
Phone
(570) 969-6100
Fax
(570) 983-0267
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD 033237E PA Primary

Addresses

Primary practice location

517 Ash St
Suite 1
Scranton, PA 18509-2902

Mailing address

517 Ash St
Suite 1
Scranton, PA 18509-2902
Phone (570) 969-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000603 PA Practitioner - Gastroenterology 6608972104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 033237EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Consultants of Nepa Gastroenterology CurrentSince Mar 1, 2007 Accepting new patients

Locations

517 Ash St
Ste 1
Scranton, PA 18509
Phone (570) 696-6100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1356388367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 ASH ST",
            "address_2": "SUITE 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092902",
            "telephone_number": "570-969-6100",
            "fax_number": "570-983-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ASH ST",
            "address_2": "SUITE 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092902",
            "telephone_number": "570-969-6100",
            "fax_number": "570-983-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWIN",
        "first_name": "EDWARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD 033237E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.