Provider Demographics
NPI:1245313022
Name:SHERMAN, ALAN (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
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:PO BOX 430
Mailing Address - Street 2:
Mailing Address - City:AVIS
Mailing Address - State:PA
Mailing Address - Zip Code:17721-0430
Mailing Address - Country:US
Mailing Address - Phone:570-753-8620
Mailing Address - Fax:570-753-5489
Practice Address - Street 1:13 RESERVOIR ROAD
Practice Address - Street 2:
Practice Address - City:MCELHATTAN
Practice Address - State:PA
Practice Address - Zip Code:17748
Practice Address - Country:US
Practice Address - Phone:570-769-7629
Practice Address - Fax:570-769-7630
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425049207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA89030OtherGEISINGER HEALTH PLAN
PA1011835990001Medicaid
PA818339OtherFIRST PRIORITY HEALTH
PA1637275OtherBLUE SHIELD
PA3722775OtherAETNA
PA1637275OtherBLUE SHIELD
PA89030OtherGEISINGER HEALTH PLAN