Individual provider Active NPI

Eugene Frank Sherwood, DPM

  • Podiatrist
  • Fairfield, OH
National Provider Identifier
1447360557
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
360020965 Issued in OH
Practice address
1260 Nilles Rd
BLDG a-1
Fairfield, OH 45014-2912
Phone
(513) 829-6232
Fax
(513) 829-8973
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 360020965 OH Primary

Addresses

Primary practice location

1260 Nilles Rd
BLDG a-1
Fairfield, OH 45014-2912

Mailing address

1260 Nilles Rd
BLDG a-1
Fairfield, OH 45014-2912
Phone (513) 829-6232

Other identifiers 2

IdentifierTypeStateIssuer
480034775OtherRR MEDICARE
0516838MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2096OHMDChiropractor
360020965OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Foot & Ankle Care LLC PastSince Jul 1, 2014 Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1447360557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 NILLES RD",
            "address_2": "BLDG A-1",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142912",
            "telephone_number": "513-829-6232",
            "fax_number": "513-829-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 NILLES RD",
            "address_2": "BLDG A-1",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142912",
            "telephone_number": "513-829-6232",
            "fax_number": "513-829-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "EUGENE",
        "middle_name": "FRANK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "360020965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480034775",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516838",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.