Individual provider Active NPI

Warren Gary Sherman, M.D.

  • Pediatrics Physician
  • St. Louis, MO
National Provider Identifier
1871601328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R4595 Issued in MO
Practice address
522 North New Ballas Road
Suite 206
St. Louis, MO 63141-6819
Phone
(314) 569-0707
Fax
(314) 994-9046
NPI assigned
Aug 25, 2006
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
Pediatrics Physician 208000000X R4595 MO Primary

Addresses

Primary practice location

522 North New Ballas Road
Suite 206
St. Louis, MO 63141-6819

Mailing address

522 North New Ballas Road
Suite 206
St. Louis, MO 63141-6819
Phone (314) 569-0707

Other names 1

  • Dr. W Gary Sherman Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R4595MOMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871601328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 NORTH NEW BALLAS ROAD",
            "address_2": "SUITE 206",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631416819",
            "telephone_number": "314-569-0707",
            "fax_number": "314-994-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 NORTH NEW BALLAS ROAD",
            "address_2": "SUITE 206",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631416819",
            "telephone_number": "314-569-0707",
            "fax_number": "314-994-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "WARREN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R4595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "SHERMAN",
            "middle_name": "GARY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.