Active NPI
Steven Anthony Sherman, M.D.
- Neurology Physician
- Adrian, MI
National Provider Identifier
1982684452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301044011
- Practice address
- 777 Kimole LN
Suite 210
Adrian, MI 49221-1479 - Phone
- (517) 264-5115
- Fax
- (517) 265-5312
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 30463 | MI | |
| Clinical Neurophysiology Physician | 2084N0600X | 4301044011 | MI | |
| Clinical Neurophysiology Physician | 2084N0600X | 927 | MI | |
| Neurology Physician | 2084N0400X | 4301044011 | MI | Primary |
Addresses
Primary practice location
777 Kimole LN
Suite 210
Adrian, MI 49221-1479
Mailing address
777 Kimole LN
Suite 210
Adrian, MI 49221-1478
Phone (517) 264-5115
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0P60200 | Other | PTAN | |
| M019033 | Other | MI | CHAMPUS/TRICARE |
| 0461117 | Other | MI | BCBS OF MICHIGAN |
| 130004288 | Other | MI | RAILROAD MEDICARE |
| 1419261 | Other | MI | UNITED MINE WORKERS |
| 2667315 | Medicaid | MI | |
| 38291755600 | Other | OHIO BUREAU OF WORKERS CO | |
| 3995740 | Other | MI | CIGNA |
| 4515856 | Other | MI | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sasherman@direct.practicefusion.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30463 | MI | MD | Neurology Physician |
| 927 | MI | MD | Clinical Neurophysiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1982684452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 KIMOLE LN",
"address_2": "SUITE 210",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211478",
"telephone_number": "517-264-5115",
"fax_number": "517-265-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 KIMOLE LN",
"address_2": "SUITE 210",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211479",
"telephone_number": "517-264-5115",
"fax_number": "517-265-5312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "STEVEN",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "30463",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "MI",
"license": "4301044011",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "MI",
"license": "927",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301044011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0P60200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "M019033",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "0461117",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130004288",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "1419261",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2667315",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BUREAU OF WORKERS CO",
"identifier": "38291755600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3995740",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4515856",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sasherman@direct.practicefusion.com",
"affiliation": "N",
"address_1": "777 Kimole Ln",
"address_2": "Suite 210",
"city": "Adrian",
"state": "MI",
"country_code": "US",
"postal_code": "492211479",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.