Provider Demographics
NPI:1285831305
Name:SHERMAN ZAREMSKI, MD, P.A.
Entity Type:Organization
Organization Name:SHERMAN ZAREMSKI, MD, P.A.
Other - Org Name:CENTRAL FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-321-3343
Mailing Address - Street 1:720 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-3546
Mailing Address - Country:US
Mailing Address - Phone:913-321-3343
Mailing Address - Fax:913-321-3348
Practice Address - Street 1:720 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-3546
Practice Address - Country:US
Practice Address - Phone:913-321-3343
Practice Address - Fax:913-321-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-13172207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSN2420000Medicare PIN