Shirley T Sherrod MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301033837 Issued in MI

Legal business name

SHIRLEY T SHERROD MD PC

Practice address

22200 W 11 Mile Rd
Box No. 515
Southfield, MI 48037-7136

Phone

(313) 320-7200

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shirley T Sherrod, MDNPI 1982638086

Title

MD

Phone

(313) 320-7200

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley T Sherrod, MD

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1982638086
  NPD (past) Authorized official
• Bret Alan Hughes, MD

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1760420822
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1215962345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22200 W 11 MILE RD",
            "address_2": "BOX NO. 515",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480377136",
            "telephone_number": "313-320-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22200 W 11 MILE RD",
            "address_2": "BOX NO. 515",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480377136",
            "telephone_number": "313-320-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY T SHERROD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-320-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301033837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1097952 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE COVENTRY PIN",
            "identifier": "48818",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN PIN",
            "identifier": "B43583",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PLAN PIN",
            "identifier": "1213150005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN PIN",
            "identifier": "122752",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1808205381",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "5536239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Archana Shirishkar, OTR
• Vivek Shirishkar, RPT
• Monae Lianna Shirley
• Alexis Shivers
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• Christina Leigh Shoemaker, LPC

• Ophthalmology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.