Organization Active NPI

Sheryll D Elder PA

  • Podiatrist
  • Topeka, KS
National Provider Identifier
1811965064
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
12-00282 Issued in KS
Legal business name
SHERYLL D ELDER PA
Practice address
6001 SW 6TH Ave
Suite 310
Topeka, KS 66615-1011
Phone
(785) 271-2299
Fax
(785) 271-2299
NPI assigned
Mar 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Sheryll D Elder, DPM
Title
Owner
Phone
(785) 271-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 12-00282 KS Primary

Addresses

Primary practice location

6001 SW 6TH Ave
Suite 310
Topeka, KS 66615-1011

Mailing address

PO Box 67053
Topeka, KS 66667-0053
Phone (785) 271-2299

Other identifiers 2

IdentifierTypeStateIssuer
114100OtherKSBCBS
DG3489OtherKSRR MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1811965064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67053",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666670053",
            "telephone_number": "785-271-2299",
            "fax_number": "785-271-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SW 6TH AVE",
            "address_2": "SUITE 310",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151011",
            "telephone_number": "785-271-2299",
            "fax_number": "785-271-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYLL D ELDER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-12",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "SHERYLL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-271-2299",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "114100",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG3489",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.