William K. Sherwin MD PHD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD018002E Issued in PA

Legal business name

WILLIAM K. SHERWIN MD PHD

Practice address

1 Bala Plaza
Suite 620
Bala Cynwyd, PA 19004

Phone

(610) 664-3300

Fax

(610) 664-1151

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary E. Griffin, D.O.NPI 1578568986

Title

President

Phone

(610) 664-3300

Specialties & licenses 6

Addresses

Other names 1

• Bala Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Elizabeth Griffin, DO

  • Dermatology Physician
  • Bala Cynwyd, PA
  • NPI 1578568986
  Medicare reassignment Care Compare group NPD Authorized official
• Amy L Jones, PAC

  • Physician Assistant
  • Bala Cynwyd, PA
  • NPI 1548243983
  Medicare reassignment Care Compare group NPD
• Robert Vincent Desilverio Jr., MD

  • Dermatology Physician
  • Linwood, NJ
  • NPI 1972591147

  PA, Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1629010236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA PLAZA",
            "address_2": "SUITE 620",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "19004",
            "telephone_number": "610-664-3300",
            "fax_number": "610-664-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA PLAZA",
            "address_2": "SUITE 620",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "19004",
            "telephone_number": "610-664-3300",
            "fax_number": "610-664-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM K. SHERWIN MD PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-664-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD018002E",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD018002E",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "PA",
            "license": "MD018002E",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "PA",
            "license": "MD018002E",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD018002E",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD018002E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bala Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald J Werrin, MD
• Jeffrey Wexler, PSY.D.
• Amanda Wiese, CRNP
• Shyra Wiggins
• Nicole Willcox, LPC
• Ada D Wilson, BA
• Arnold Charles Winkelman, MD
• Katherine Wisochanski, DPT, PT
• Wissahickon Hospice of Uphs
• Wissahickon Hospice of Uphs

• Dermatology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.