Active NPI
Sherry X Ma, MD, PHD
- Neurology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 106297
- Practice address
- 2315 Dougherty Ferry Rd
Suite 207
Saint Louis, MO 63122-3383 - Phone
- (314) 984-8380
- Fax
- (314) 984-5091
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 106297 | MO | Primary |
Addresses
Primary practice location
2315 Dougherty Ferry Rd
Suite 207
Saint Louis, MO 63122-3383
Mailing address
2315 Dougherty Ferry Rd
Suite 207
Saint Louis, MO 63122-3383
Phone (314) 984-8380
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208715508 | Medicaid | MO | |
| 190661 | Other | MO | BLUE CROSS AND SHIELD |
| 108428 | Other | MO | BLUE CROSS AND SHIELD |
| 0500157 | Other | MO | UNITED HEALTH CARE |
| 333473 | Other | MO | HEALTHLINK |
| 5868624 | Other | AETNA | |
| 218597 | Other | MO | GROUP HEALTH PLAN ID |
| 219697 | Other | MO | GROUP HEALTH PLAN ID NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Bowles Ave
Suite 200
Fenton, MO 63026-2308
Phone (636) 496-3900
1723 Broadway St
Suite 205
Cape Girardeau, MO 63701-4556
Phone (573) 331-7870
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106297 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Neurology Associates, Inc. | Neurology | Past | Accepting new patients |
Locations
705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200
1055 Bowles Ave
Ste 200
Fenton, MO 63026
Phone (636) 496-3900
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
505 Couch Ave
Ste 220
Saint Louis, MO 63122
Phone (314) 821-0778
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dexter, MO
- NPI 1801990825
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
-
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1275649048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 DOUGHERTY FERRY RD",
"address_2": "SUITE 207",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223383",
"telephone_number": "314-984-8380",
"fax_number": "314-984-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 DOUGHERTY FERRY RD",
"address_2": "SUITE 207",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223383",
"telephone_number": "314-984-8380",
"fax_number": "314-984-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "SHERRY",
"middle_name": "X",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "106297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208715508",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND SHIELD",
"identifier": "190661",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND SHIELD",
"identifier": "108428",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0500157",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "333473",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5868624",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN ID",
"identifier": "218597",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN ID NUMB",
"identifier": "219697",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.