Organization
GEORGETOWN OB GYN LLP
Active
Other names
John Vaneff Sherman MD
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH S SANTIFER CPC (OFFICE MANAGER)
(512) 863-8600
Entity
Organization
Contact information
Practice address
602 HIGH TECH DRIVE, GEORGETOWN, TX 78626
(512) 863-8600
Mailing address
PO BOX 1223, GEORGETOWN, TX 78627-1223
(512) 863-8600
(512) 863-8641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H7653
TX
207V00000X
Obstetrics & Gynecology Physician
K7214
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00046M
MEDICARE
—
01
—
0058487
BLUE LINK
—
01
—
00L62J
BCBS
—
05
—
0962581 02
—
TX
01
—
10008667
AMERICGROUP
—
01
—
1000866B
AMERIGROUP
—
05
—
1235269 03
—
TX
01
—
21149582824 01
BEECHSTREET
—
01
—
2290118
AETNA HMO
—
01
—
2290279
AETNA PPO
—
01
—
2949121001
CIGNA
—
01
—
3361599
BLUE LINK
—
01
—
428883006
CIGNA
—
01
—
4393421
AETNA PPO
—
01
—
5320762
AETNA HMO
—
Enumeration date
06/17/2008
Last updated
03/07/2023
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