Provider Demographics
NPI:1871574590
Name:SHERMAN, JOHN VANEFF (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:VANEFF
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 1223
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627-1223
Mailing Address - Country:US
Mailing Address - Phone:512-863-8600
Mailing Address - Fax:512-863-8641
Practice Address - Street 1:602 HIGH TECH DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-8185
Practice Address - Country:US
Practice Address - Phone:512-863-8600
Practice Address - Fax:512-863-8641
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7214207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0058487OtherBLUELINK
TX2114958282401OtherBEECHSTREET
TX129519100OtherFIRSTCARE
TX2290279OtherAETNA
TX428883006OtherCIGNA
TX096258102Medicaid
TX10008667OtherAMERIGROUP
TX5320762OtherAETNA HMO PPO
TX0058487OtherBLUELINK
TX2290279OtherAETNA