DR. DAVID SHERMAN (NPI# 1740689181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740689181 |
| Entity Type | Individual |
| Full Name | DR. DAVID SHERMAN |
| Credential | M.D. |
| Practice Address |
8350 State Route 30 Dittmer MO 63023-1909 |
| Mailing Address |
2801 Nw 23rd Blvd Apt N95 Gainesville FL 32605-5937 |
| Practice Telephone | 3143923822 |
| Mailing Telephone | 6602332209 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2019-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | ME130343 | FL | Allopathic & Osteopathic Physicians |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
ME130343 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
2016037447 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE OF MISSOURI PHYSICIAN AND SURGEON | 2016037447 | 01 |
| FL | MEDICARE | JC419Y | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17222 Hospital Blvd Ste 222, Brooksville, FL 346018925 | 3526785550 | 3526785551 |
| 2801 Nw 23rd Blvd, Apt N95, Gainesville, FL 326055937 | 6602332209 | |
| 4800 Rowan Rd, New Port Richey, FL 346535609 | 7274835912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962977678 | David Scott Sherman | Marriage & Family Therapist | 750 N San Vicente Blvd Ste 1500, West Hollywood, CA 90069-5788 | 2018-10-09 |
| 1184127136 | David Alexander Sherman | Physical Therapist | 721 Keller Pkwy Ste 107a, Keller, TX 76248-2492 | 2018-03-15 |
| 1427375229 | David Sherman | Dentist | 800 Community Dr Ste 200, Manhasset, NY 11030-3821 | 2010-05-03 |
| 1417036906 | David Bruce Sherman | Dentist | 161 High Street, Taunton, MA 02780-3529 | 2006-11-03 |
| 1033219647 | David A Sherman | Chiropractor | 325 Thompson Rd, Upper Level, Webster, MA 01570-1504 | 2006-09-24 |
| 1396848701 | David H. Sherman | Obstetrics & Gynecology | 62 E. 88th Street. 2nd Floor, New York, NY 10128 | 2006-09-07 |
| 1467472415 | David S Sherman | Social Worker | 21145 Whitfield Pl Ste 105, Sterling, VA 20165-7278 | 2006-07-20 |
| 1114577327 | David Paul Sherman | Counselor | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-09-19 |
| 1790268084 | David Sherman | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2018-09-12 |
| 1083104657 | David Scott Sherman | Social Worker | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2018-05-18 |
| Street Address |
8350 STATE ROUTE 30 |
| City | DITTMER |
| State | MO |
| Zip Code | 63023-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462278 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 8350 State Route 30, Dittmer, MO 63023 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577107 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 150 Sana Lake Recovery Way, Dittmer, MO 63023 | 2020-04-22 |
| 1588007256 | Blake Wells | Speech-Language Pathologist | 7887 Ditter Ridge Road, Dittmer, MO 63023 | 2013-04-12 |
| 1396999140 | Valerie Puett | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2008-11-06 |
| 1447680590 | Rose Aiazzi | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2013-11-26 |
| 1952736027 | Leann Christine Carruthers | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2013-09-09 |
| 1215190558 | Cynthia Xakellis Wiederholt | Emergency Medicine | Fast Track Urgent Care, 2686 N Highway 67, Florissant, MO 63023-1438 | 2008-07-07 |
| 1184832552 | Karen Kramer | Counselor | 9009 Morse Mill Rd, Dittmer, MO 63023-2046 | 2007-05-18 |
| 1053786350 | Danielle Boswell | Respiratory Therapist, Registered | 9810 Morse Mill Rd, Dittmer, MO 63023-2709 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577107 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 150 Sana Lake Recovery Way, Dittmer, MO 63023 | 2020-04-22 |
| 1053786350 | Danielle Boswell | Respiratory Therapist, Registered | 9810 Morse Mill Rd, Dittmer, MO 63023-2709 | 2015-12-11 |
| 1588007256 | Blake Wells | Speech-Language Pathologist | 7887 Ditter Ridge Road, Dittmer, MO 63023 | 2013-04-12 |
| 1396999140 | Valerie Puett | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2008-11-06 |
| 1184832552 | Karen Kramer | Counselor | 9009 Morse Mill Rd, Dittmer, MO 63023-2046 | 2007-05-18 |
| 1902462278 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 8350 State Route 30, Dittmer, MO 63023 | 2019-05-13 |
| 1447680590 | Rose Aiazzi | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2013-11-26 |
| 1952736027 | Leann Christine Carruthers | Speech-Language Pathologist | 7887 Dittmer Ridge Rd, Dittmer, MO 63023-1113 | 2013-09-09 |
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760559181 | Thomas James Breidenstein | Psychiatry & Neurology | 108 E Green Meadows Rd, Suite 8, Columbia, MO 65203-3633 | 2006-11-29 |
| 1235203308 | David Edward Sternberg | Psychiatry & Neurology | 527 Sw Market St, Lees Summit, MO 64063-3918 | 2006-11-20 |
| 1689661829 | Subbu Joseph Sarma | Psychiatry & Neurology | 4025 Ne Lakewood Way Ste 210, Lees Summit, MO 64064-2059 | 2005-10-03 |
| 1962819326 | Oluwole Popoola | Psychiatry & Neurology | One Hospital Dr, Columbia, MO 65212 | 2014-07-17 |
| 1982928065 | Jack L. Croughan Inc | Psychiatry & Neurology | 1034 S Brentwood Blvd, Suite 970, Saint Louis, MO 63117-1223 | 2010-03-18 |
| 1104873116 | Ashok R Mallya | Psychiatry & Neurology | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2006-05-27 |
| 1588659288 | David Lee Ohlms | Psychiatry & Neurology | 12166 Old Big Bend Rd, Suite 100, Kirkwood, MO 63122-6844 | 2005-09-19 |
Please comment or provide details below to improve the information on DR. DAVID SHERMAN.
| 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.