Basic Information
Provider Information
NPI: 1407929607
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHERER
FirstName: DAVID
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI
Address2: KAISER PERMANENTE MID ADLANTIC PERMANENTE MEDICAL GROUP
City: ROCKVILLE
State: MD
PostalCode: 208524908
CountryCode: US
TelephoneNumber: 3018166660
FaxNumber: 3018166308
Practice Location
Address1: 201 NORTH WASHINGTON STREET
Address2:  
City: FALLS CHURCH
State: VA
PostalCode: 220464518
CountryCode: US
TelephoneNumber: 7032374000
FaxNumber: 7035361400
Other Information
ProviderEnumerationDate: 11/16/2006
LastUpdateDate: 11/15/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X0101048275VAY Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X032725MDN Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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