Active NPI
Sheri A. Moore, LSA
- Surgery Physician
- Uhland, TX
National Provider Identifier
1861564387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- SA00047
- Practice address
- 910 Bunton LN
Uhland, TX 78640-6404 - Phone
- (806) 787-7840
- Fax
- (806) 794-0125
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SA0047 | TX | |
| Surgical Physician Assistant | 363AS0400X | SA0047 | TX | |
| Surgery Physician | 208600000X | SA00047 | TX | Primary |
Addresses
Primary practice location
910 Bunton LN
Uhland, TX 78640-6404
Mailing address
PO Box 40307
Austin, TX 78704
Phone (806) 787-7840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0062JR | Other | TX | BLUE CROSS & BLUE SHIELD |
| 208600000X | Other | TX | TAXONOMY |
Other names 1
- Sheri Jean Smith / Adair
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA0047 | TX | MD | Specialist |
| SA00047 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1861564387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40307",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "806-787-7840",
"fax_number": "806-794-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 BUNTON LN",
"city": "UHLAND",
"state": "TX",
"postal_code": "786406404",
"telephone_number": "806-787-7840",
"fax_number": "806-794-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SHERI",
"middle_name": "A.",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "SA0047",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA0047",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "SA00047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "0062JR",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "208600000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERI",
"last_name": "SMITH / ADAIR",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Uhland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.