Provider Demographics
NPI:1285653857
Name:SHERMAN, PAUL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
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:P O BOX 950202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0202
Mailing Address - Country:US
Mailing Address - Phone:502-969-6552
Mailing Address - Fax:502-969-3799
Practice Address - Street 1:4001 KRESGE WAY STE 330
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4640
Practice Address - Country:US
Practice Address - Phone:502-394-6341
Practice Address - Fax:502-394-6340
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20886174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000023033SOtherHUMANA- NORTON ORTHO TRAUMA CARE
KY3534952000OtherPASSPORT ADVANTAGE- NORTON ORTHO TRAUMA CARE
KY50020168OtherPASSPORT- NORTON ORTHO TRAUMA CARE
KY200041220OtherMANAGED HEALTH SERVICES- NORTON ORTHO TRAUMA CARE
KY2000413220OtherANTHEM INDIANA MEDICAID- NORTON ORTHO TRAUMA CARE
KYP00634730OtherRAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE
KY000000577220OtherANTHEM- NORTON ORTHO TRAUMA CARE
KY2000413220OtherMD WISE- NORTON ORTHO TRAUMA CARE
KY64208861OtherMEDICAID KENTUCKY- NORTON ORTHO TRAUMA CARE
KY00533047OtherMEDICARE- NORTON ORTHO TRAUMA CARE
KY2000413220OtherMEDICAID IN- NORTON ORTHO TRAUMA CARE
KY200038474Medicare PIN
KYP00634730OtherRAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE
KY200041220OtherMANAGED HEALTH SERVICES- NORTON ORTHO TRAUMA CARE
KY000000577220OtherANTHEM- NORTON ORTHO TRAUMA CARE