Active NPI
Sheryl J Menacker, M.D.
- Ophthalmology Physician
- Southampton, PA
National Provider Identifier
1609885078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD030361E
- Practice address
- 319 2ND Street Pike
Southampton, PA 18966-3812 - Phone
- (215) 355-4428
- Fax
- (215) 355-0790
- NPI assigned
- Aug 5, 2006
- Last updated
- Mar 27, 2012
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD030361E | PA | Primary |
Addresses
Primary practice location
319 2ND Street Pike
Southampton, PA 18966-3812
Mailing address
319 2ND Street Pike
Southampton, PA 18966-3812
Phone (215) 355-4428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simon Eye Associates PA | Past | Accepting new patients | |
| Eye Associates of Bucks County | Ophthalmology | Past | Accepting new patients |
| The Emory Clinic Pediatric Providers | Past | Accepting new patients |
Interoperability endpoints
- smenacker21800@direct.emory.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Langhorne, PA
- NPI 1609926658
-
- Optometrist
- Wilmington, DE
- NPI 1205871506
-
- Pediatric Surgery Physician
- Decatur, GA
- NPI 1720285653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1609885078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 2ND STREET PIKE",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663812",
"telephone_number": "215-355-4428",
"fax_number": "215-355-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 2ND STREET PIKE",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663812",
"telephone_number": "215-355-4428",
"fax_number": "215-355-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENACKER",
"first_name": "SHERYL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD030361E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.