Philip Marion Sharp, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

2371A Issued in WY

Practice address

214 E 23Rd St
Cheyenne, WY 82001-3748

Phone

(307) 633-6080

Fax

(307) 432-3106

NPI assigned

Nov 23, 2005

Last updated

Oct 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1386627362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20970",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037020",
            "telephone_number": "307-773-8012",
            "fax_number": "307-633-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "307-633-6080",
            "fax_number": "307-432-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "PHILIP",
        "middle_name": "MARION",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WY",
            "license": "2371A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE CONTROL",
            "identifier": "430PS98",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2371A",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102341100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahrzad Shamlou, PHARMD
• Shani Re LLC
• Michael J Shannon, MD
• Laura A Sharif, LPC
• Mary Helen Sharp, RPH
• Amy Scott Shaw, PA
• Anna Mishael Shaw, RPH, PHARMD
• Noelle Elizabeth Shaw
• Sara Shaw
• Charlene Marie Sheamansmith, PT, DPT

• Infectious Disease Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Infectious Disease Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.