Provider Demographics
NPI:1285645986
Name:FRIEDMAN, SHERI J (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:J
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8702
Mailing Address - Country:US
Mailing Address - Phone:970-667-7664
Mailing Address - Fax:970-622-9843
Practice Address - Street 1:2695 ROCKY MOUNTAIN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8702
Practice Address - Country:US
Practice Address - Phone:970-667-7664
Practice Address - Fax:970-622-9843
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO380882084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY115320000Medicaid
CO80258077Medicaid
COP00970365OtherMEDICARE RAILROAD PTAN
WY115320000Medicaid
COP00970365OtherMEDICARE RAILROAD PTAN