Sherin Mary George, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

85-004586 Issued in IL

Practice address

1180 Newfield Ave
Stamford, CT 06905-1409

Phone

(888) 822-8436

Fax

(203) 590-8644

NPI assigned

Dec 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• My Catholic Doctor, P.L.L.C.

  dba MyCatholicDoctor

  • Pediatrics Physician
  • New Canaan, CT
  • NPI 1396201307
  Medicare reassignment

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1669718839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12391 SUMMER SPRINGS DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372044",
            "telephone_number": "630-785-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051409",
            "telephone_number": "888-822-8436",
            "fax_number": "203-590-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHERIN",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "85-004586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669718839",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• General Prize One Corp
• Kristofer Generales, NP
• Robert Gennaro, MD
• Genoa Healthcare LLC
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10391)
• Kathryn Georgiadis, MD
• Lambros G Geotes, MD
• Nina Greenbaum Gerber, LCSW
• Maryana German, APRN
• Helena Gerner, APRN

• Medical Physician Assistant in Stamford, CT
• Providers in Stamford, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.