DR. PAUL MICHAEL SHERMAN (NPI# 1629056916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629056916 |
Entity Type | Individual |
Full Name | DR. PAUL MICHAEL SHERMAN |
Credential | M.D. |
Practice Address |
2200 Bergquist Dr Ste 1 Lackland Afb TX 78236-9908 |
Mailing Address |
13737 Noel Rd Ste 1600 Attn Rays Dallas TX 75240-1374 |
Practice Telephone | 2102925133 |
Mailing Telephone | 3039338270 |
Mailing Fax Number | 2147122002 |
Enumeration Date | 2006-01-06 |
Last Update Date | 2020-05-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME98490 | FL | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
L3822 | TX | Allopathic & Osteopathic Physicians |
N | 171000000X | Military Health Care Provider | L3822 | TX | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 3153300 | 05 | |
AR | MEDICAL LICENSE | E-6140 | 01 |
TX | MEDICAL LICENSE | L3822 | 01 |
FL | MEDICAL LICENSE | ME98490 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
13737 Noel Rd Ste 1600, Attn Rays, Dallas, TX 752401374 | 3039338270 | 2147122002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285653857 | Paul Joseph Sherman | Specialist | 4001 Kresge Way Ste 330, Louisville, KY 40207-4640 | 2006-07-18 |
1821279860 | Paul Douglas Sherman | Marriage & Family Therapist | 1485 81st Ave Ne, Spring Lake Park, MN 55432-2111 | 2007-11-19 |
1831256718 | Paul E. Sherman | Pediatrics | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-01-02 |
1649332065 | Paul Theodore Sherman | Physical Therapist | 1813 O Ave, Sherman Physical Therapy, Anacortes, WA 98221-2344 | 2006-12-14 |
Street Address |
2200 BERGQUIST DR STE 1 |
City | LACKLAND AFB |
State | TX |
Zip Code | 78236-9908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427041979 | Terence Gerald Benson Jr. | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2005-08-30 |
1972031011 | George Benson | General Practice | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2017-06-02 |
1467984187 | Trevor Edgington | General Practice | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2017-03-31 |
1376938399 | Colette Poole-boykin | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr Ste 1, Ste 1, Lackland Afb, TX 78236-9908 | 2015-04-06 |
1720210933 | John Ryan Brewer | Ophthalmology | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2009-08-20 |
1023256815 | Risa Cavalcanti Riepma | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2009-02-02 |
1073767117 | Susan Wright Mongeau | Dentist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-11-14 |
1053571018 | Brian Michael Fitzgerald | Anesthesiology | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-06-12 |
1760649297 | Rayna Lane Wooten | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-05-21 |
1235309659 | Margaret Bonnie Cole | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-03-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
Find all providers in zip 78236 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154422384 | Joanne Balintona | Radiology | 2200 Bergquist Drive Suite 1, Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236-9908 | 2006-09-26 |
1336130251 | Lezlie Rene Kuebker | Radiology | 2200 Bergquist Drive, Ste 1, Wilford Hall Medical Center, 59th Medical Wing, Lackland Afb, TX 78236-9908 | 2005-10-31 |
1861603284 | Robert M. Dewitt | Radiology | 2200 Bergquist Dr, Lackland Afb, TX 78236-9907 | 2007-05-25 |
1144434820 | David James Oettel | Radiology | 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 | 2007-05-10 |
1235194168 | Nathan Cecava | Radiology | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2006-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700492311 | Mobile Life-saving Health Services LLC | Radiology | 12522 Reverence Way, Cypress, TX 77429-0038 | 2020-09-18 |
1629683818 | Springwood Radiology Associates, Pllc | Radiology | 3010 Palmer Way, Spring, TX 77380-4081 | 2020-09-14 |
1861000572 | Benchmark Imaging Center LLC | Radiology | 510 Victoria Ln Ste 2, Harlingen, TX 78550-3239 | 2020-07-20 |
1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
1922650605 | Hw Diagnostics LLC | Radiology | 18652 Mckay Dr Ste 200, Humble, TX 77338-5716 | 2019-07-12 |
1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
Find all providers with the same taxonomy |
City | LACKLAND AFB |
Zip Code | 78236 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.