Rome Sherrod II MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ROME SHERROD II MD

Practice address

7600 Airways Blvd Ste B
Southaven, MS 38671-5138

Phone

(662) 349-9370

Fax

(662) 349-9372

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rome Sherrod II, MD

Title

Owner

Phone

(662) 349-9370

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• TRI-STATE HEALTHCARE FOR WOMEN Other name

Locations

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1124201892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 AIRWAYS BLVD STE B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715138",
            "telephone_number": "662-349-9370",
            "fax_number": "662-349-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 AIRWAYS BLVD STE B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715138",
            "telephone_number": "662-349-9370",
            "fax_number": "662-349-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME SHERROD II MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "ROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-349-9370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013667",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2008964",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MS",
            "identifier": "427842189",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-STATE HEALTHCARE FOR WOMEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taeisha S Rodgers, LPC
• Allison Prescott Rogers, LCSW
• Luke James Rogers, DPT
• Toby Rollheiser, OTR/L
• Rome Sherrod II
• Scott Stuart Rosen, MD
• Chad Montgomery Ross, MD
• Rodney D. Rothstein, MD
• Kyle Routh, LPC
• Jordan Anderson Royals, LPC, NCC, CMHT

• Medical Specialty Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.