Individual provider Active NPI

Thomas G Sherman, MD

  • Psychiatry Physician
  • Toledo, OH
National Provider Identifier
1790760163
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36710 Issued in OH
Practice address
3900 Sunforest CT
Ste 200
Toledo, OH 43623-4475
Phone
(419) 475-8625
Fax
(419) 475-9312
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 36710 OH Primary

Addresses

Primary practice location

3900 Sunforest CT
Ste 200
Toledo, OH 43623-4475

Mailing address

3900 Sunforest CT
Ste 200
Toledo, OH 43623-4475
Phone (419) 475-8625

Other identifiers 2

IdentifierTypeStateIssuer
00414OtherOHPARAMOUNT
0267465MedicaidOH

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
I20120119000490 OH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0749457562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Medical College of Ohio, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3900 Sunforest CT
Suite 200
Toledo, OH 43623-4440
Phone (419) 475-8625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36710OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G Sherman MD Inc CurrentSince Dec 31, 1975 Accepting new patients
Court Diagnostic & Treatment Center Past Accepting new patients

Locations

3900 Sunforest Ct
Ste 200
Toledo, OH 43623
Phone (419) 474-4471

Organizations & group practices 2

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790760163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT",
            "address_2": "STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234475",
            "telephone_number": "419-475-8625",
            "fax_number": "419-475-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT",
            "address_2": "STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234475",
            "telephone_number": "419-475-8625",
            "fax_number": "419-475-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "36710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "00414",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267465",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.