Active NPI
Amanda J Sherratt, MD
- Pediatrics Physician
- Toledo, OH
National Provider Identifier
1497749543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35083579
- Practice address
- 2150 W Central Ave
Toledo, OH 43606-3846 - Phone
- (419) 291-5599
- Fax
- (419) 291-6445
- NPI assigned
- Sep 6, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35083579 | OH | Primary |
Addresses
Primary practice location
2150 W Central Ave
Toledo, OH 43606-3846
Mailing address
2150 W Central Ave
Toledo, OH 43606-3846
Phone (419) 291-5599
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000362309 | Other | OH | ANTHEM |
| 2551877 | Medicaid | OH | |
| 000000548781 | Other | ANTHEM | |
| 25-21266 | Other | UHC | |
| 47701 | Other | HPM | |
| 7914700 | Other | AETNA | |
| 046798 | Other | OH | PHC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asherratt13926@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35083579 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Toledo Hospital | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| The Toledo Hospital | Pediatrics | Current | Accepting new patients |
| Promedica Central Physicians, LLC | Past | Accepting new patients |
Locations
2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Interoperability endpoints
- asherratt13926@direct.promedica.org
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1497749543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063846",
"telephone_number": "419-291-5599",
"fax_number": "419-291-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063846",
"telephone_number": "419-291-5599",
"fax_number": "419-291-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRATT",
"first_name": "AMANDA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-06",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35083579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000362309",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2551877",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000548781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "25-21266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "47701",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7914700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHC",
"identifier": "046798",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asherratt13926@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.