Active NPI
Joseph T. Sherrel, MD PA
- Specialist
- Marianna, FL
National Provider Identifier
1073542825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME40400
- Legal business name
- JOSEPH T. SHERREL, MD PA
- Practice address
- 4316 5TH Ave
Marianna, FL 32446-2182 - Phone
- (850) 526-5437
- Fax
- (850) 482-6550
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandy Bryant
- Title
- Office Manager
- Phone
- (850) 526-5437
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME40400 | FL | Primary |
| Rural Health Clinic/Center | 261QR1300X | 40400 | FL |
Addresses
Primary practice location
4316 5TH Ave
Marianna, FL 32446-2182
Mailing address
4316 5TH Ave
Marianna, FL 32446-2182
Phone (850) 526-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660027100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299542400000",
"number": "1073542825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4316 5TH AVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462182",
"telephone_number": "850-526-5437",
"fax_number": "850-482-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 5TH AVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462182",
"telephone_number": "850-526-5437",
"fax_number": "850-482-6550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH T. SHERREL, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2011-03-08",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "850-526-5437",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME40400",
"primary": true
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "FL",
"license": "40400",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "660027100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.