Active NPI
Ronald D. Sherbert, D.O. P.a.
- Family Medicine Physician
- Grand Saline, TX
National Provider Identifier
1235433970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3450
- Legal business name
- RONALD D. SHERBERT, D.O. P.A.
- Practice address
- 709 N Waldrip St
Grand Saline, TX 75140-1555 - Phone
- (903) 962-3419
- Fax
- (903) 962-3635
- NPI assigned
- Jan 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald D Sherbert, D.O.
- Title
- Physician
- Phone
- (903) 962-3419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3450 | TX | Primary |
Addresses
Primary practice location
709 N Waldrip St
Grand Saline, TX 75140-1555
Mailing address
PO Box 553
Grand Saline, TX 75140-0553
Phone (903) 962-3419
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099908802 | Medicaid | TX | |
| 454237 | Other | TX | AETNA |
| 011539980 | Other | TX | RAILROAD MEDICARE |
| 00R362 | Other | TX | BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
709 N Waldrip St
Grand Saline, TX 75140
Phone (903) 962-3419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294617600000",
"number": "1235433970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 553",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751400553",
"telephone_number": "903-962-3419",
"fax_number": "903-962-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N WALDRIP ST",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751401555",
"telephone_number": "903-962-3419",
"fax_number": "903-962-3635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD D. SHERBERT, D.O. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A",
"authorized_official_last_name": "SHERBERT",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "903-962-3419",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "E3450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099908802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "454237",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "011539980",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "00R362",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Saline, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.