Individual provider Active NPI

Sherri Anne Howard, PA

  • Physician Assistant
  • Bexley, OH
National Provider Identifier
1689927485
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50003593 Issued in OH
Practice address
2359 E Main St
Bexley, OH 43209-2421
Phone
(614) 947-1716
Fax
(614) 947-1743
NPI assigned
Oct 18, 2012
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50003593 OH Primary

Addresses

Primary practice location

2359 E Main St
Bexley, OH 43209-2421

Mailing address

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

Other practice location 1

5300 Far Hills Ave Ste 300
Dayton, OH 45429-2381
Phone (937) 433-7536

Other names 1

  • Sherri Anne Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000439 OH Practitioner - Physician Assistant 0648423392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

2359 E Main St
Bexley, OH 43209-2421
Phone (614) 947-1716

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

6365 Winchester Blvd
Suite a
Canal Winchester, OH 43110-2069
Phone (614) 524-4146

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Oct 28, 2012 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 28, 2012 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

1010 Refugee Rd
Ste 299
Pickerington, OH 43147
Phone (614) 788-4600

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.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1689927485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292381",
            "telephone_number": "937-433-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 E MAIN ST",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092421",
            "telephone_number": "614-947-1716",
            "fax_number": "614-947-1743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Far Hills Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454292381",
            "country_code": "US",
            "telephone_number": "937-433-7536",
            "fax_number": "937-433-9612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "SHERRI",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "MARTIN",
            "middle_name": "ANNE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bexley, OH

Sources for this page

Verify at the official NPI Registry.