Richard H Shereff MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

22276 Issued in NC

Legal business name

RICHARD H SHEREFF MD PA

Practice address

139 Hunter Circle
Fayetteville, NC 28304-3408

Phone

(910) 323-4888

Fax

(910) 323-9005

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan J Shereff, RN

Title

Secretary Treasurer

Phone

(910) 323-4888

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard H Shereff, MD

  • Dermatology Physician
  • Fayetteville, NC
  • NPI 1780676742
  Medicare reassignment NPD

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1538359708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HUNTER CIRCLE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043408",
            "telephone_number": "910-323-4888",
            "fax_number": "910-323-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HUNTER CIRCLE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043408",
            "telephone_number": "910-323-4888",
            "fax_number": "910-323-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H SHEREFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "SHEREFF",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "910-323-4888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "22276",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "22276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75765",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975765",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Joy Rice, PT
• Emily Christine Rice, DPT
• Kaitlynn Rice, COTA/L
• Kayla D Rice, BT
• Lucille Lenore Rice, RRT
• Richard R. Barbaro, D.D.S., PA
• Richard S. Daniel, O.D., P.a.
• James John Richard, MPAS, PA-C
• Cynthia Wilson Richards, MD
• Charlotte Amy Richardson, CRNA

• Dermatology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.