Provider Demographics
NPI:1801283189
Name:SHERR, HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:SHERR
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 1:210 SUMMIT BLVD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILLS VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80113-7045
Mailing Address - Country:US
Mailing Address - Phone:303-761-7450
Mailing Address - Fax:
Practice Address - Street 1:210 SUMMIT BLVD
Practice Address - Street 2:
Practice Address - City:CHERRY HILLS VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80113-7045
Practice Address - Country:US
Practice Address - Phone:303-761-7450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22164207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01221647Medicaid