Individual
GARRICK TODD SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-6212
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6212
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.149171
OH
2085R0202X
Diagnostic Radiology Physician
Primary
42273
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000627322
ANTHEM
KY
01
—
0958131
UMWA GROUP NUMBER
—
01
—
1093923666
VIRGINIA MEDICAID
—
01
—
3810015456
WEST VIRGINIA MEDICAID
WV
05
—
7100095490
—
KY
01
—
P00732734
RAILROAD MEDICARE
KY
Enumeration date
05/18/2007
Last updated
12/07/2023
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