Physician Compare National (NPI:1609135110)

HEALTHCARE PROVIDER: WAYNE D SHERMAN D.O

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1609135110
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022238500
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191119003212
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHERMAN
	Individual professional last name
Provider First Name	WAYNE
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS SCHOOL OF DENTAL MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	HERITAGE VALLEY MULTISPECIALTY GROUP INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0042105678
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	214
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1000 DUTCH RIDGE RD
	Group Practice or individual's line 1 address
City	BEAVER
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	150099727
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7247736403
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390036
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HERITAGE VALLEY BEAVER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y