MEDICARE: ROGER S SHERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS0010X	Sports Medicine (Family Medicine) Physician	30833	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477551158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROGER S SHERMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 1850
Second Line	:
City	:	CRESTED BUTTE
State	:	CO
Zip	:	81224-1850
Country	:	US
Telephone Number	:	970-349-0321
Fax Number	:	970-349-0328

Provider Business Practice Location Address
First Line	:	214 6TH ST
Second Line	:
City	:	CRESTED BUTTE
State	:	CO
Zip	:	81224-1850
Country	:	US
Telephone Number	:	970-349-0321
Fax Number	:	970-349-0328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/16/2008

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Directions to “ ROGER S SHERMAN MD” Practice Location

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