Theodore Roosevelt Sherman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME55395 Issued in FL

Practice address

1201 5TH Ave N
Suite 410
St Petersburg, FL 33705-1433

Phone

(727) 822-5410

Fax

(941) 746-4111

NPI assigned

Jul 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Medical College of Georgia School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westcoast Hospitalist LLCGroup PAC ID 5092819870, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayfront Home Health Services Home health agency, Saint Petersburg, FL, CCN 107742
• Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
• Bayfront Health St. Petersburg Inpatient rehabilitation facility, St. Petersburg, FL, CCN 10T032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Westcoast Hospitalist LLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1316076664
  Medicare reassignment Care Compare group NPD
• Nano Life PL

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1750741534
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayfront Hma Home Health LLC

  • Home Health Agency
  • St Petersburg, FL
  • NPI 1407816465
  Care Compare affiliation
• Ohi West, Inc

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1154399749
  Care Compare affiliation
• Ohi West, Inc

  • Rehabilitation Hospital Unit
  • St Petersburg, FL
  • NPI 1912975228

  Inpatient rehabilitation facility

  Care Compare affiliation
• St. Anthonys Hospital, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1427072248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 410",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051433",
            "telephone_number": "727-822-5410",
            "fax_number": "941-746-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 410",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051433",
            "telephone_number": "727-822-5410",
            "fax_number": "941-746-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "THEODORE",
        "middle_name": "ROOSEVELT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379926300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheridan Radiology Services of Pinellas, Inc.
• Sheridan Radiology Services of Pinellas, Inc.
• James Philip Sheridan, RBT
• Rosemary H Sherman, MD
• Shanna Ann Sherman, ARNP
• Wayne D Sherman, D.O
• Pamela Diane Sherwin, LCSW
• David Scott Shettle, O.D.
• Logan Scott Shettle, O.D.
• Hester Fay Shieh, MD

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.