Individual provider Active NPI

Sheryl Jeanette Zayas, D.O.

  • Family Medicine Physician
  • Wilton Manors, FL
National Provider Identifier
1598034167
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11462 Issued in FL
Practice address
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Phone
(954) 567-7141
Fax
(954) 565-5624
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11462 FL Primary

Addresses

Primary practice location

871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731

Mailing address

12401 W Okeechobee Rd Lot 460
Hialeah Gardens, FL 33018-5906
Phone (305) 794-1967

Other identifiers 1

IdentifierTypeStateIssuer
010208700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130225000410 FL Practitioner - General Practice 2264687227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Resource Community Health Centers, IncGroup PAC ID 1658350749, 26 clinicians

Practice addresses (Care Compare)

871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Phone 3055761234282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11462FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Resource Community Health Centers Inc Past Accepting new patients
Creative Chiropractic LLC PastSince Oct 31, 2012 Accepting new patients
Care Resource Community Health Centers, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sheryl.zayas.p1@direct.careresource.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1598034167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 W OKEECHOBEE RD LOT 460",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330185906",
            "telephone_number": "305-794-1967",
            "fax_number": "800-603-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 W OAKLAND PARK BLVD",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111731",
            "telephone_number": "954-567-7141",
            "fax_number": "954-565-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS",
        "first_name": "SHERYL",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010208700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.