Sharon Foster Gardepe, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4558 Issued in AL

Legal business name

SHARON FOSTER GARDEPE, M.D., P.C.

Practice address

201 Sivley Rd SW
Suite 510
Huntsville, AL 35801-5134

Phone

(256) 536-0992

Fax

(256) 265-2765

NPI assigned

Sep 30, 2010

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Foster Gardepe, M.D.NPI 1225015514

Title

Owner/Physician

Phone

(256) 536-0992

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon Foster Gardepe, MD

  • Dermatology Physician
  • Huntsville, AL
  • NPI 1225015514
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1538478029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE 510",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015138",
            "telephone_number": "256-536-0992",
            "fax_number": "256-265-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE 510",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015134",
            "telephone_number": "256-536-0992",
            "fax_number": "256-265-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON FOSTER GARDEPE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "GARDEPE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-536-0992",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "4558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000013501",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004003541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUESHIELD",
            "identifier": "51013501",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.