Individual provider Active NPI

Shonda Yvette Sheran, M.D.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1689679292
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME85370 Issued in FL
Practice address
4321 N Macdill Ave
Suite #205
Tampa, FL 33607-6388
Phone
(813) 961-7440
Fax
(813) 962-0951
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME85370 FL Primary

Addresses

Primary practice location

4321 N Macdill Ave
Suite #205
Tampa, FL 33607-6388

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other identifiers 1

IdentifierTypeStateIssuer
269077200MedicaidFL

Other names 1

  • Shonda Y Perry Former name

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
I20040308000891 FL Practitioner - Obstetrics/Gynecology 1052209459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

4321 N Macdill Ave
Suite 205
Tampa, FL 33607-6390
Phone (813) 961-7440

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85370FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 9, 2011 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Apr 21, 2018 Accepting new patients
St Josephs Specialty Services Inc Past Accepting new patients
For Women P.a. Obstetrics & Gynecology Past Accepting new patients

Locations

4211 Van Dyke Rd
Ste 207
Lutz, FL 33558
Phone (813) 879-7478

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

10909 W Linebaugh Ave
Ste 104
Tampa, FL 33626
Phone (813) 920-1808

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4321 N Macdill Ave
Ste 205
Tampa, FL 33607
Phone (813) 961-7440

Interoperability endpoints

  • Direct secure messaging: shonda.sheran@wcfnf.eclinicaldirectplus.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1689679292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-286-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 N MACDILL AVE",
            "address_2": "SUITE #205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076388",
            "telephone_number": "813-961-7440",
            "fax_number": "813-962-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERAN",
        "first_name": "SHONDA",
        "middle_name": "YVETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME85370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269077200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHONDA",
            "last_name": "PERRY",
            "middle_name": "Y",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.