Physician Compare National (NPI:1871695122)

HEALTHCARE PROVIDER: JONATHAN A SHERMAN MD

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

Individual Professional Information
NPI	1871695122
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517067549
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070705000320
	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	JONATHAN
	Individual professional first name
Provider Middle Name	ADAM
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	VVMC DIVERSIFIED SERVICES
	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	8628145414
	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	20
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	108 S FRONTAGE RD W
	Group Practice or individual's line 1 address
Line 2 Street Address	VAIL HEALTH CLINIC
	Group Practice or individual's line 2 address
City	VAIL
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	816575053
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9704791110
	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	060100
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AURORA SOUTH HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060096
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	VAIL HEALTH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	060112
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SKY RIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y