Sherri Sortor-Thompson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD065053-L Issued in PA

Practice address

1033 Turnpike Ave
Suite 200
Clearfield, PA 16830-3061

Phone

(814) 768-7618

Fax

(814) 768-7508

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ssortorthompson@1285.direct.myezyaccess.com

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.

• Dubois Regional Medical Center

  • Pediatrics Physician
  • Du Bois, PA
  • NPI 1801094222
  Medicare reassignment
• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1750382701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-371-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 TURNPIKE AVE",
            "address_2": "SUITE 200",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303061",
            "telephone_number": "814-768-7618",
            "fax_number": "814-768-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORTOR-THOMPSON",
        "first_name": "SHERRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD065053-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16973290008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP MEMBER PTAN EFFECTIVE 6-9-10",
            "identifier": "185255PLG",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Chylynn Shugarts, LPN
• Michael Guy Simpson, OD
• Darren Michael Smeal, MD
• Sarah Jane Snyder, PA-C
• Rebecca Rose Sorg-Myers, M.A, N.C.C., L.P.C.
• Laurie Jayne Spare
• Speak Life Counseling Services
• Brianna Spencer
• Joseph D Spencer, PHARM. D
• Jessica Starr, M.S., CCC-SLP

• Pediatrics Physician in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.