Provider Demographics
NPI:1780773226
Name:SHERMAN, RONALD L (DPM)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:L
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:RONALD
Other - Middle Name:L
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:600 N.WOLFE STREET
Mailing Address - Street 2:HALSTED 668
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-955-5165
Mailing Address - Fax:410-614-2079
Practice Address - Street 1:600 N. WOLFE STREET
Practice Address - Street 2:HALSTED 668
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-5165
Practice Address - Fax:410-614-2079
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00672213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD139956800Medicaid
MD232L338BMedicare ID - Type UnspecifiedPROVIDER #
MD139956800Medicaid