Sheryn Abraham, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

39000 Issued in WI

Practice address

8600 75TH St
Ste 101
Kenosha, WI 53142-8200

Phone

(262) 652-9430

Fax

(262) 652-9433

NPI assigned

Jun 13, 2005

Last updated

Mar 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: sabraham7884@direct.chw.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Medical Group

  dba Glendale Pediatrics

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)
• Children's Medical Group

  dba Lakeside Pediatrics

  • Pediatrics Physician
  • Kenosha, WI
  • NPI 1427223783
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1174527550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 75TH ST",
            "address_2": "STE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428200",
            "telephone_number": "262-652-9430",
            "fax_number": "262-652-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 75TH ST",
            "address_2": "STE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428200",
            "telephone_number": "262-652-9430",
            "fax_number": "262-652-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "SHERYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "39000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174527550",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Aalto, LCSW
• Komail Abbas, D.M.D.
• Katherine M Abbo, MD FACC
• Omar Abdelmegid, MD
• Abdul G. Durrani MD SC
• Absolute Chiropractic & Wellness LLC
• Jeanine M Achtel
• Vanesa Acosta
• Actra Rehabilitation Associates Inc (NovaCare Prosthetics & Orthotics)
• Julie Adam

• Pediatrics Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.