Provider Demographics
NPI:1033175773
Name:SHERMAN, MORTON EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:MORTON
Middle Name:EUGENE
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:L5
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:303-252-0104
Mailing Address - Fax:303-867-2776
Practice Address - Street 1:14100 E ARAPAHOE RD STE 130
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4478
Practice Address - Country:US
Practice Address - Phone:303-252-0104
Practice Address - Fax:303-867-2776
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20831207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01208313Medicaid
CO27169YN6LMedicare PIN
CO01208313Medicaid
D23839Medicare UPIN
COCE1528Medicare ID - Type Unspecified