Sheryl L. Blaylock M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J8464 Issued in TX

Legal business name

SHERYL L. BLAYLOCK M.D., P.A.

Practice address

1105 Santa Fe
Suite 102
Weatherford, TX 76086

Phone

(817) 594-6620

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Sheryl L Blaylock, M.D.

Title

President Owner

Phone

(817) 594-6620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053533364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SANTA FE",
            "address_2": "SUITE 102",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-594-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SANTA FE",
            "address_2": "SUITE 102",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-594-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL L. BLAYLOCK M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "817-594-6620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrah Shaikh, PHARM.D.
• Jeremy Sharp
• Tiffany Sharp, LPC-A
• Jessica Bailey Shell
• Sheridan Healthcare of Texas PA
• Lyndsey Joy Shotwell
• Jharana Shrestha, MD
• Sanjeeb Shrestha, M.D.
• Marissa M Shuffield, PA
• Julie Jean Shumate

• Internal Medicine Physician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Internal Medicine Physician in Texas

• 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.