Alex Sher, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

21808 State Road 54
Lutz, FL 33549-6923

Phone

(813) 922-8621

NPI assigned

Nov 3, 2015

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: alex.sherdo@direct.mybaycare.org

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1609249499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21808 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496923",
            "telephone_number": "813-922-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21808 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496923",
            "telephone_number": "813-922-8621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-434-6712",
            "fax_number": "321-409-6812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Malabar Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Malabar",
            "state": "FL",
            "postal_code": "329503140",
            "country_code": "US",
            "telephone_number": "321-549-0696",
            "fax_number": "321-409-8932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 N Washington Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962107",
            "country_code": "US",
            "telephone_number": "321-264-7688",
            "fax_number": "321-409-8932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S Banana River Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329315041",
            "country_code": "US",
            "telephone_number": "321-868-8313",
            "fax_number": "321-799-9273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHER",
        "first_name": "ALEX",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9363107",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IV189Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khavir Ahmed Sharieff, D.O.
• Tamanna Sharma, PT
• Monica Shaver, RN, IBCLC
• Cynthia Burton Shearer, APRN
• Christine Marie Shenoi, M.S. CCC-SLP
• Assem Sherieh, MD
• Sherley Valdez Arroyo MD PA
• Joelle L Sherman
• Ami Shiddapur, MD
• Shield Psychiatry PLLC (Shield Psychiatry)

• Student in an Organized Health Care Education/Training Program in Lutz, FL
• Providers in Lutz, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.