NPIMap

Individual provider Active NPI

Glenn Alan Sherman, D.O

  • Family Medicine Physician
  • Rockport, IN
National Provider Identifier
1982662425
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02001335A Issued in IN
Practice address
105 S 2ND St
Rockport, IN 47635-1318
Phone
(812) 649-2271
Fax
(812) 649-4867
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02001335A IN Primary

Addresses

Primary practice location

105 S 2ND St
Rockport, IN 47635-1318

Mailing address

8885 State Road 237
Tell City, IN 47586-8567
Phone (812) 547-7011

Other identifiers 1

IdentifierTypeStateIssuer
100225000MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000351 IN Practitioner - Family Practice 2961545355 Reassigns benefits to 2 organizations
Practice locations: Rockport, IN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perry County Memorial HospitalGroup PAC ID 6901871276, 28 clinicians

Practice addresses (Care Compare)

105 S 2ND St
Rockport, IN 47635-1318
Phone (812) 649-2271

Hospital & facility affiliations

  • Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
  • Enhabit Home Health Home health agency, Evansville, IN, CCN 157529
  • Perry County Memorial Hospital Hospital, Tell City, IN, CCN 151322
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001335AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perry County Memorial Hospital Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Perry County Memorial Hospital Family Medicine Current Accepting new patients
Perry County Memorial Hospital CurrentSince Oct 1, 2019 Accepting new patients
Perry County Memorial Hospital Current Accepting new patients
Major Hospital Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Owensboro Health Medical Group, Inc Family Medicine Past Accepting new patients

Locations

559 Main St
Ste 1
Rockport, IN 47635
Phone (812) 649-2271

559 Main St
Rockport, IN 47635
Phone (812) 649-2271

105 S 2nd St
Rockport, IN 47635
Phone (812) 547-9661

148 13th St
Tell City, IN 47586
Phone (812) 547-0333

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

109 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-3447

Interoperability endpoints

  • Direct secure messaging: gsherman@yourcarecommunity.org
  • Direct secure messaging: glenn.sherman.1@21400.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1982662425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 STATE ROAD 237",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868567",
            "telephone_number": "812-547-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 2ND ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351318",
            "telephone_number": "812-649-2271",
            "fax_number": "812-649-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "GLENN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001335A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100225000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, IN

Sources for this page

Verify at the official NPI Registry.