NPIMap

Organization Active NPI

Sherry L. Viola MD PC

  • Specialist
  • Troy, MI
National Provider Identifier
1043369705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ND011544 Issued in MI
Legal business name
SHERRY L. VIOLA MD PC
Practice address
1777 Axtell Dr
Suite 107
Troy, MI 48084-4404
Phone
(248) 649-0450
Fax
(248) 649-1238
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Rue
Title
Office Manager
Phone
(248) 649-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ND011544 MI Primary

Addresses

Primary practice location

1777 Axtell Dr
Suite 107
Troy, MI 48084-4404

Mailing address

1777 Axtell Dr
Suite 107
Troy, MI 48084-4404
Phone (248) 649-0450

Other identifiers 1

IdentifierTypeStateIssuer
4166178MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Sherry L Viola MD PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043369705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "SUITE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-649-0450",
            "fax_number": "248-649-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "SUITE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-649-0450",
            "fax_number": "248-649-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY L. VIOLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-649-0450"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "ND011544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4166178",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.