Individual provider Active NPI

Ronald W Sherman, DO

  • Dermatology Physician
  • Ormond Beach, FL
National Provider Identifier
1992837900
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS4000 Issued in OH
Practice address
106 N Old Kings Rd
Suite D
Ormond Beach, FL 32174-9505
Phone
(386) 274-5712
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS4000 OH Primary

Addresses

Primary practice location

106 N Old Kings Rd
Suite D
Ormond Beach, FL 32174-9505

Mailing address

106 N Old Kings Rd
Suite D
Ormond Beach, FL 32174-9505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070823000576 FL Practitioner - Dermatology 6901998822 Reassigns benefits to 1 organization
Practice locations: Ormond Beach, FL; Palm Coast, FL

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

713 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603
Phone (407) 299-7333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions49
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS4000OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. Dermatology CurrentSince Dec 1, 2020 Accepting new patients
Ronald W Sherman DO Procedural Dermatology PastSince Jan 1, 1990 Accepting new patients

Locations

713 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 253-9007

844 N Stone St
Ste 204
Deland, FL 32720

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1992837900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N OLD KINGS RD",
            "address_2": "SUITE D",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N OLD KINGS RD",
            "address_2": "SUITE D",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749505",
            "telephone_number": "386-274-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "OS4000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.