Individual provider Active NPI

Sherri Dunkelberger, D.O.

  • Family Medicine Physician
  • South Pasadena, FL
National Provider Identifier
1104897321
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9215 Issued in FL
Practice address
6801 Gulfport Blvd S
Suite 6
South Pasadena, FL 33707-2127
Phone
(727) 592-1919
Fax
(727) 800-6989
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9215 FL Primary

Addresses

Primary practice location

6801 Gulfport Blvd S
Suite 6
South Pasadena, FL 33707-2127

Mailing address

1002 Jungle Ave N
St Petersburg, FL 33710-4308
Phone (727) 341-0873

Other identifiers 1

IdentifierTypeStateIssuer
OS9215OtherFLFLORIDA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
S Dunkelberger DO LLC Family 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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1104897321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 JUNGLE AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104308",
            "telephone_number": "727-341-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 GULFPORT BLVD S",
            "address_2": "SUITE 6",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072127",
            "telephone_number": "727-592-1919",
            "fax_number": "727-800-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKELBERGER",
        "first_name": "SHERRI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "OS9215",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

Verify at the official NPI Registry.