Active NPI
Edward Sherwood
- Computed Tomography Radiologic Technologist
- Boca Raton, FL
National Provider Identifier
1659917375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 536514
- Practice address
- 800 Meadows Rd
Boca Raton, FL 33486-2304 - Phone
- (561) 955-7100
- NPI assigned
- Nov 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 536514 | FL | Primary |
Addresses
Primary practice location
800 Meadows Rd
Boca Raton, FL 33486-2304
Mailing address
8128 Sedgewick CT # 28B
West Palm Beach, FL 33406-8436
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 536514 | FL | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1659917375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8128 SEDGEWICK CT # 28B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334068436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEADOWS RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862304",
"telephone_number": "561-955-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "FL",
"license": "536514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.