Active NPI
Sherina Anne Hyman, PAC
- Physician Assistant
- Troy, MI
National Provider Identifier
1255681938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006454
- Practice address
- 44201 Dequindre Rd
Emergency Dept.
Troy, MI 48085-1117 - Phone
- (248) 964-6410
- NPI assigned
- Sep 11, 2012
- Last updated
- Feb 12, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006454 | MI | Primary |
Addresses
Primary practice location
44201 Dequindre Rd
Emergency Dept.
Troy, MI 48085-1117
Mailing address
38935 Ann Arbor Rd
Credentialing Dept.
Livonia, MI 48150-3397
Phone (734) 632-0175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | MI | CAQH |
Other names 1
- Sherina Anne Daniel
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Mercy Hospital | Past | Accepting new patients | |
| Wellbridge of Clarkston, LLC | Past | Accepting new patients |
Interoperability endpoints
- shyman@landmarkhealth-direct.org
Organizations & group practices 2
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.
-
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- Howell, MI
- NPI 1265497705
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1255681938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38935 ANN ARBOR RD",
"address_2": "CREDENTIALING DEPT.",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503397",
"telephone_number": "734-632-0175",
"fax_number": "734-632-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44201 DEQUINDRE RD",
"address_2": "EMERGENCY DEPT.",
"city": "TROY",
"state": "MI",
"postal_code": "480851117",
"telephone_number": "248-964-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMAN",
"first_name": "SHERINA",
"middle_name": "ANNE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "PENDING",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERINA",
"last_name": "DANIEL",
"middle_name": "ANNE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.