Active NPI
Tamara Sharee Dorroh
- Peer Specialist
- Mentor, OH
National Provider Identifier
1205512811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.004160
- Practice address
- 7980 Independence Dr Apt D
Mentor, OH 44060-4097 - Phone
- (440) 850-4872
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.004160 | OH | Primary |
Addresses
Primary practice location
7980 Independence Dr Apt D
Mentor, OH 44060-4097
Mailing address
7980 Independence Dr Apt D
Mentor, OH 44060-4097
Phone (440) 850-4872
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.004160 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1205512811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7980 INDEPENDENCE DR APT D",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604097",
"telephone_number": "440-850-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7980 INDEPENDENCE DR APT D",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604097",
"telephone_number": "440-850-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORROH",
"first_name": "TAMARA",
"middle_name": "SHAREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.004160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.