Organization Active NPI

Sharma Clinic PLLC

  • Specialist
  • Lapeer, MI
National Provider Identifier
1548457930
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301036505 Issued in MI
Legal business name
SHARMA CLINIC PLLC
Practice address
3257 Davison Rd
Lapeer, MI 48446-2909
Phone
(810) 664-4713
Fax
(810) 664-3503
NPI assigned
Sep 28, 2007
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Vishnu K Sharma, M.D.NPI 1407958440
Title
Owner
Phone
(810) 664-4713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301036505 MI Primary

Addresses

Primary practice location

3257 Davison Rd
Lapeer, MI 48446-2909

Mailing address

3257 Davison Rd
Lapeer, MI 48446-2909
Phone (810) 664-4713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110000514 MI Part B Supplier - Clinic/Group Practice 4587859095 Receives reassigned benefits from 2 practitioners
Practice locations: Lapeer, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1548457930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 DAVISON RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462909",
            "telephone_number": "810-664-4713",
            "fax_number": "810-664-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 DAVISON RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462909",
            "telephone_number": "810-664-4713",
            "fax_number": "810-664-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARMA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "VISHNU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-664-4713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301036505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.