Individual provider Active NPI

Stephen Vincent Sherick, M.D.

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1528260866
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0047548 Issued in CO
Practice address
35 S Bellaire St
Denver, CO 80246
Phone
(303) 718-9179
NPI assigned
May 31, 2007
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL16336 OR
Emergency Medicine Physician 207P00000X 0047548 CO Primary

Addresses

Primary practice location

35 S Bellaire St
Denver, CO 80246

Mailing address

35 S Bellaire St
Denver, CO 80246-1010
Phone (303) 718-9179

Other identifiers 3

IdentifierTypeStateIssuer
300015624MedicaidIN
11953063MedicaidCO
P00793514OtherMEDICARE RR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmc@direct.slvrmc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160815002477 MI Practitioner - Emergency Medicine 7719037605 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0047548COMDEmergency Medicine Physician
LL16336ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baraga County Memorial Hospital Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Innova Emergency Medical Associates PC Emergency Medicine Past Accepting new patients
Innova Emergency Medical Associates PC Emergency Medicine Past Accepting new patients
Trinidad Area Health Association Past Accepting new patients
Apex Emergency Group, Inc Emergency Medicine Past Accepting new patients

Locations

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1528260866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S BELLAIRE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461010",
            "telephone_number": "303-718-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S BELLAIRE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-718-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERICK",
        "first_name": "STEPHEN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "LL16336",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "0047548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015624",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11953063",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00793514",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmc@direct.slvrmc.org",
            "affiliation": "N",
            "endpointDescription": "San Luis Valley Health ED Stephen Sherick",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "106 Blanca Ave",
            "city": "Alamosa",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811012340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.