Active NPI
Dorothy Della Sherwood, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- The Dalles, OR
National Provider Identifier
1780693143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD159682
- Practice address
- 1825 E 19TH St
The Dalles, OR 97058-3365 - Phone
- (541) 506-6940
- Fax
- (541) 296-2636
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | H8835 | TX | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD159682 | OR | Primary |
Addresses
Primary practice location
1825 E 19TH St
The Dalles, OR 97058-3365
Mailing address
PO Box 1520
The Dalles, OR 97058-8003
Phone (541) 296-7668
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780693143 | Medicaid | OR | |
| 218105 | Medicaid | OR | |
| 8AG057 | Other | TX | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD159682 | OR | MD | Geriatric Medicine (Internal Medicine) Physician |
| H8835 | TX | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1780693143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1520",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970588003",
"telephone_number": "541-296-7668",
"fax_number": "541-296-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E 19TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583365",
"telephone_number": "541-506-6940",
"fax_number": "541-296-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "DOROTHY",
"middle_name": "DELLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "H8835",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OR",
"license": "MD159682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780693143",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218105",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AG057",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.