Active NPI
Elizabeth R Sherrock, M.D.
- Family Medicine Physician
- Bartlesville, OK
National Provider Identifier
1033104492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19386
- Practice address
- 4150 SE Adams Rd
Bartlesville, OK 74104-8410 - Phone
- (918) 331-9979
- Fax
- (918) 331-2346
- NPI assigned
- Sep 13, 2005
- Last updated
- Apr 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19386 | OK | Primary |
Addresses
Primary practice location
4150 SE Adams Rd
Bartlesville, OK 74104-8410
Mailing address
4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100228780A | Medicaid | OK | |
| 100131350A | Medicaid | OK |
Other names 1
- Elizabeth H Redding
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 SE Delaware Ave
Bartlesville, OK 74003-3635
Phone (918) 331-2330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19386 | OK | MD | Family Medicine Physician |
Interoperability endpoints
- elizabeth.sherrock.1@21171.direct.athenahealth.com
- elizabeth.sherrock@direct.stjohnhealthsystem.com
- https://api.platform.athenahealth.com/21171/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bartlesville, OK
- NPI 1275528630
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1033104492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 SE ADAMS RD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "74006",
"telephone_number": "918-331-9979",
"fax_number": "918-331-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 SE ADAMS RD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "741048410",
"telephone_number": "918-331-9979",
"fax_number": "918-331-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERROCK",
"first_name": "ELIZABETH",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "19386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100228780A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100131350A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "REDDING",
"middle_name": "H",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bartlesville, OK
- Deanna Lynn Severson, MS, CCCSLP
- Brian Charles Shane, DC
- Jaya Prasad Shanmugam, MD
- Kerry Lynn Shaw, CARE COORDINATOR
- Keith Leroy Sheffield, M.DIV., M.S., L.P.C.
- Kelly Shipley, AG-ACNP, FNP, CNRN
- Janice C Shippy, ARNP
- Heather Leigh Shoesmith, M.S. CCC-SLP
- Christopher Lee Shook, BS
- Peggy D Shook, M.A., L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.