DR. KENT DOUGLAS SHARMAN MD NPI 1063498475

NPI Information

NPI: 1063498475
Provider Name: DR. KENT DOUGLAS SHARMAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1900 WOODLAND DR
COOS BAY, OR
ZIP 97420
Phone: (541) 267-5151
Get Directions

DR. Kent Douglas Sharman, MD is a family medicine in Coos Bay, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kent Douglas Sharman, MD NPI is 1063498475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 WOODLAND DR
COOS BAY, OR
ZIP 97420-000
Phone: (541) 267-5151
Fax: (541) 266-4575

The NPI 1063498475 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 3/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD14219	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CB3544	OTHER	OREGON	RR MEDICARE GROUP NUMBER
2	1407812365	OTHER	OREGON	NBMC GROUP NPI NUMBER
3	271593	MEDICAID	OREGON
4	C94509	MEDICARE UPIN	OREGON
5	080186022	OTHER	OREGON	RR MEDICARE PTAN NUMBER
6	R111720	MEDICARE PIN	OREGON
7	930635514	OTHER	OREGON	GROUP TAX ID NUMBER
8	R0000WFBTV	OTHER	OREGON	MEDICARE GROUP PIN NUMBER
9	0577260001	MEDICARE NSC	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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