Organization Active NPI

Robert E Sherman DPM

  • Podiatrist
  • Stratford, CT
National Provider Identifier
1407913734
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000188 Issued in CT
Legal business name
ROBERT E SHERMAN DPM
Practice address
3446 Main St
Stratford, CT 06614-4118
Phone
(203) 375-1370
Fax
(203) 377-2410
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Robert E Sherman, DPMNPI 1013917004
Title
Owner
Phone
(203) 375-1370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 000188 CT Primary

Addresses

Primary practice location

3446 Main St
Stratford, CT 06614-4118

Mailing address

3446 Main St
Stratford, CT 06614-4118
Phone (203) 375-1370

Other identifiers 1

IdentifierTypeStateIssuer
004050688MedicaidCT

Other names 1

  • Stratford Podiatry Associates Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1407913734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144118",
            "telephone_number": "203-375-1370",
            "fax_number": "203-377-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144118",
            "telephone_number": "203-375-1370",
            "fax_number": "203-377-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E SHERMAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-375-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004050688",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stratford Podiatry Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.