SHERMAN MD PROVIDER INC (NPI# 1841696846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841696846 |
| Entity Type | Organization |
| Organization Name | SHERMAN MD PROVIDER INC |
| Other Organization Name | WNJ WELLCARE MEDICAL GROUP |
| Practice Address |
4206 Retama Cir Victoria TX 77901-2765 |
| Practice Telephone | 3615720333 |
| Practice Fax Number | 3615720104 |
| Mailing Telephone | 3615720333 |
| Mailing Fax Number | 3615720104 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | MICHAEL J SARRAO (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3615720333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WNJ WellCare Medical Group | Doing Business As Name - Organization |
| Street Address |
4206 RETAMA CIR |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265475008 | Kelly A Roberson | Physical Therapist | 4206 Retama Cir, Victoria, TX 77901-2765 | 2006-06-13 |
| 1558611475 | Community Health Centers of South Central Texas Inc | Clinic/Center | 4206 Retama Cir, Victoria, TX 77901-2765 | 2012-09-18 |
| 1598070468 | Ashley Kristine Escamilla | Specialist/Technologist | 4206 Retama Cir, Victoria, TX 77901-2765 | 2010-08-16 |
| 1831402247 | Irene Valdivia | Physical Therapist | 4206 Retama Cir, Victoria, TX 77901-2765 | 2010-07-15 |
| 1588975775 | Sara Beth Maier | Occupational Therapist | 4206 Retama Cir, Victoria, TX 77901-2765 | 2010-06-23 |
| 1518283175 | Laura Lynn Crafton | General Practice | 4206 Retama Cir, Victoria, TX 77901-2765 | 2010-04-07 |
| 1235468372 | Mildred Marie Garcia | Occupational Therapy Assistant | 4206 Retama Cir, Victoria, TX 77901-2765 | 2009-12-21 |
| 1487885463 | Elizabeth Garcia | Physical Therapy Assistant | 4206 Retama Cir, Victoria, TX 77901-2765 | 2009-08-07 |
| 1982832200 | Tracy Lynn Picha | Occupational Therapist | 4206 Retama Cir, Victoria, TX 77901-2765 | 2009-06-25 |
| 1487812137 | Michael C Dilorenzo | Physical Therapist | 4206 Retama Cir, Victoria, TX 77901-2765 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401856 | Denise Mary Tomanek | Family Medicine | 218 Cobble Stone Ct, Victoria, TX 77904-2975 | 2020-09-15 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1841786332 | Victoria Family Medical Clinic Pa | Family Medicine | 2806 N Navarro St Ste D, Victoria, TX 77901-3937 | 2018-07-08 |
| 1851802995 | Natural Wellness of Texas, Inc | Family Medicine | 2601 N Azalea St Ste 31, Victoria, TX 77901-4151 | 2017-10-16 |
| 1235585381 | Daniel Espinosa | Family Medicine | 601 E San Antonio St Ste 102w, Victoria, TX 77901-6051 | 2016-05-08 |
| 1013328160 | Julia Shae Krause-castaneda | Family Medicine | 102 Springwood Dr, Victoria, TX 77904-3501 | 2014-05-12 |
| 1275801342 | Nicholas Lin Mdpa | Family Medicine | 2700 Citizens Plaza, Suite 101, Victoria, TX 77901-5756 | 2011-12-05 |
| 1922273176 | Kishan Chand | Family Medicine | 2700 Citizens Plz Ste 301, Victoria, TX 77901-5755 | 2008-04-29 |
| 1831386549 | Hop Medical Services, M.d.p.a. | Family Medicine | 1902 John Stockbauer Drive, Suite 300, Victoria, TX 77904 | 2007-09-26 |
| 1588855290 | Med C Clinico | Family Medicine | 3804 John Stockbauer, Suite E, Victoria, TX 77904 | 2007-08-07 |
| Find all providers in VICTORIA | ||||
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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.