Individual provider Active NPI

Kristen Sherman, D.O.

  • Pediatrics Physician
  • New Bremen, OH
National Provider Identifier
1619361540
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34.013208 Issued in OH
Practice address
03920 Southland Rd
New Bremen, OH 45869-9790
Phone
(419) 629-2772
NPI assigned
Mar 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34.013208 OH Primary

Addresses

Primary practice location

03920 Southland Rd
New Bremen, OH 45869-9790

Mailing address

830 W Main St
Coldwater, OH 45828-1657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180801000583 OH Practitioner - Pediatric Medicine 7911255385 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M E D F Physicians Corporation Pediatrics CurrentSince Jul 13, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercer County Joint Township Community Hospital Past Accepting new patients

Locations

801 Pro Dr
Ste A
Celina, OH 45822
Phone (419) 586-3113

950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118

830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271

03920 Southland Rd
New Bremen, OH 45869
Phone (419) 629-2772

442 Stachler Dr
Saint Henry, OH 45883
Phone (419) 678-2246

Interoperability endpoints

  • Direct secure messaging: ksherman627545@direct.osumc.edu

Organizations & group practices 3

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1619361540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "03920 SOUTHLAND RD",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458699790",
            "telephone_number": "419-629-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.013208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bremen, OH

Sources for this page

Verify at the official NPI Registry.