Active NPI
Robert E Sherman DPM
- Podiatrist
- Stratford, CT
National Provider Identifier
1407913734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000188
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert E Sherman, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004050688 | Medicaid | CT |
Other names 1
- Stratford Podiatry Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Stratford, CT
- NPI 1013917004
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.