Active NPI
Cheryl Sherrod
- Student in an Organized Health Care Education/Training Program
- Rochester, MI
National Provider Identifier
1699066340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1101 W University Dr
3-North
Rochester, MI 48307-1863 - Phone
- (248) 601-4900
- Fax
- (249) 601-4994
- NPI assigned
- Apr 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Primary | |
| General Practice Physician | 208D00000X | MD.207362 | LA |
Addresses
Primary practice location
1101 W University Dr
3-North
Rochester, MI 48307-1863
Mailing address
1101 W University Dr
3-North
Rochester, MI 48307-1863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207362 | LA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1699066340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W UNIVERSITY DR",
"address_2": "3-NORTH",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W UNIVERSITY DR",
"address_2": "3-NORTH",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071863",
"telephone_number": "248-601-4900",
"fax_number": "249-601-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERROD",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-29",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "MD.207362",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.