Provider Demographics
NPI:1215931167
Name:GINGRICH, SHARMAN (MD)
Entity type:Individual
Prefix:
First Name:SHARMAN
Middle Name:
Last Name:GINGRICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3867
Mailing Address - Country:US
Mailing Address - Phone:978-463-1383
Mailing Address - Fax:978-463-1386
Practice Address - Street 1:25 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3867
Practice Address - Country:US
Practice Address - Phone:978-914-5189
Practice Address - Fax:978-463-1386
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA49885207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA60723OtherHARVARD PILGRIM HEALTH CA
0016311OtherBNEIGHBORHOOD HEALTH PLAN
04-08372OtherEVERCARE
110214693OtherRAILROAD MEDICARE
NVA54187OtherANTHEM BLUE CROSS
MA49885OtherTUFTS HEALTH PLAN
MAD23047OtherBLUE CROSS BLUE SHIELD
NH30011420OtherNH MEDICAID
5070980OtherCIGNA
73373OtherHEALTHSOURCE
MA0173363Medicaid
969319OtherNETWORK HEALTH
969319OtherNETWORK HEALTH
NVA54187OtherANTHEM BLUE CROSS