Individual provider Active NPI

Theresa T. Sherrod, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Silver Spring, MD
National Provider Identifier
1093042996
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D0053860 Issued in MD
Practice address
8561 Fenton St
Suite 250
Silver Spring, MD 20910-4455
Phone
(240) 821-1222
Fax
(240) 821-1227
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X D57860 MD
Dermatopathology (Pathology) Physician 207ZD0900X D0053860 MD
Dermatopathology (Pathology) Physician 207ZD0900X 0101032608 VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D0053860 MD Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101032608 VA

Addresses

Primary practice location

8561 Fenton St
Suite 250
Silver Spring, MD 20910-4455

Mailing address

8561 Fenton St
Suite 250
Silver Spring, MD 20910-4455
Phone (240) 821-1222

Other names 1

  • Theresa T. Holland Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0053860MDMDAnatomic Pathology & Clinical Pathology Physician
0101032608VAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1093042996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8561 FENTON ST",
            "address_2": "SUITE 250",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104455",
            "telephone_number": "240-821-1222",
            "fax_number": "240-821-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8561 FENTON ST",
            "address_2": "SUITE 250",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104455",
            "telephone_number": "240-821-1222",
            "fax_number": "240-821-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERROD",
        "first_name": "THERESA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MD",
            "license": "D57860",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MD",
            "license": "D0053860",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "VA",
            "license": "0101032608",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0053860",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101032608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "HOLLAND",
            "middle_name": "T.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.