NICHOLAS RYAN SHERMAN


Address: 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Phone: 8473603000

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
20010 Century Blvd Ste 200, Germantown, MD 20878 2406862300

Office Location

Street Address 1324 N SHERIDAN RD
City WAUKEGAN
State IL
Zip Code 60085-2161

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City WAUKEGAN
Zip Code 60085

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Dataset Information

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.

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