Active NPI
Sherry Hockenberry, MD
- Emergency Medicine Physician
- Salem, OH
National Provider Identifier
1033166525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35069351H
- Practice address
- 1995 E State St
Salem, OH 44460-2423 - Phone
- (330) 332-1551
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35069351H | OH | Primary |
Addresses
Primary practice location
1995 E State St
Salem, OH 44460-2423
Mailing address
119 Wildwood Rd
Midland, PA 15059-2201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2535224 | Medicaid | OH | |
| P00285347 | Other | OH | MEDICARE RR-GA |
| 942460636908 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35069351H | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mves Boardman LLC | Emergency Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1205888237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1033166525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 WILDWOOD RD",
"city": "MIDLAND",
"state": "PA",
"postal_code": "150592201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 E STATE ST",
"city": "SALEM",
"state": "OH",
"postal_code": "444602423",
"telephone_number": "330-332-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKENBERRY",
"first_name": "SHERRY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35069351H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2535224",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR-GA",
"identifier": "P00285347",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "942460636908",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.