NICHOLAS RYAN SHERMAN (NPI# 1891052239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891052239 |
Entity Type | Individual |
Full Name | NICHOLAS RYAN SHERMAN |
Practice Address |
1324 N Sheridan Rd Waukegan IL 60085-2161 |
Mailing Address |
5121 Maryland Way Brentwood TN 37027-7516 |
Practice Telephone | 8473603000 |
Mailing Telephone | 6159286275 |
Enumeration Date | 2012-04-23 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | MD043310 | DC | Allopathic & Osteopathic Physicians |
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
FS6627698 | IL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
20010 Century Blvd Ste 200, Germantown, MD 20878 | 2406862300 |
Street Address |
1324 N SHERIDAN RD |
City | WAUKEGAN |
State | IL |
Zip Code | 60085-2161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689673055 | Lake Shore Pathologists Sc | Pathology | 1324 N Sheridan Rd, Vista Medical Center East, Waukegan, IL 60085-2161 | 2005-07-19 |
1528689817 | Andrew Joseph Quinlan | Pharmacist | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2020-04-28 |
1891324281 | Tyler Stenger | Registered Nurse | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2020-04-07 |
1851936272 | Natalie Anne Butler | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2019-11-08 |
1720635170 | Kathleen Trinh | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2019-08-21 |
1386114858 | Krina D Patel | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2018-11-28 |
1447728183 | Paolo Petilla Mercado | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2018-11-12 |
1427539279 | Robert R Cashen | Physician Assistant | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2018-08-28 |
1437667037 | Leigh Ann Jones | Physician Assistant | 1324 N Sheridan Rd, Waukegan, IL 60085 | 2018-01-17 |
1033635818 | Kathleen Elizabeth Ready | Dietitian, Registered | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2017-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
Find all providers in zip 60085 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
1306098231 | Robert Dietz Tetik | Emergency Medicine | 2272 95th St Ste 106, Naperville, IL 60564-8942 | 2008-10-22 |
1831384643 | Primus Trauma Care LLC | Emergency Medicine | 1304 Franklin Avenue, Normal, IL 61761 | 2007-09-14 |
1245355411 | Pekin Memorial Hospital | Emergency Medicine | 600 So 13th Street, Pekin, IL 61554-4969 | 2007-03-20 |
1396879268 | Nanci A Cherry | Emergency Medicine | 7419 Bell Harbour Dr, Rockford, IL 61114-6600 | 2007-03-15 |
1972609782 | Jennifer Lynn Webb | Emergency Medicine | 15730 Robert Louis Dr, Plainfield, IL 60544-2146 | 2006-09-16 |
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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.