Provider Demographics
NPI:1285893248
Name:SHERMAN, ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:SHERMAN
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 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:50 MAUDE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-4325
Practice Address - Country:US
Practice Address - Phone:401-456-2690
Practice Address - Fax:401-456-6540
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD151032085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIAA473700OtherHUMANA RWRT
RIAA473701OtherHARVARD PILGRIM
RIAA473701OtherHUMANA SCRT
RIAA473702OtherHARVARD PLIGRIM
RIP01562518OtherRR MEDICARE
FL4608607OtherCIGNA
RIU400243995OtherMEDICARE - SNERC
RIU400243987OtherMEDICARE - RWRT
RIAA473702OtherHUMANA SNERC
RIU400243981OtherMEDICARE - SCRT
RIAA473700OtherHARVARD PILGRIM
RIP01562517OtherRR MEDICARE