Individual provider Active NPI

Sherri Lynn Whitcomb, PA-C

  • Physician Assistant
  • Perrysburg, OH
National Provider Identifier
1902083835
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.001907 Issued in OH
Practice address
12780 Roachton Road
Suite #1
Perrysburg, OH 43551-5230
Phone
(419) 872-0777
Fax
(419) 872-2369
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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 50.001907 OH Primary

Addresses

Primary practice location

12780 Roachton Road
Suite #1
Perrysburg, OH 43551-5230

Mailing address

12780 Roachton Road
Suite #1
Perrysburg, OH 43551-5230
Phone (419) 872-0777

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
I20101028000336 OH Practitioner - Physician Assistant 6406040062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Ohio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates IncGroup PAC ID 7113092917, 14 clinicians

Practice addresses (Care Compare)

12780 Roachton Rd
Perrysburg, OH 43551-1350
Phone (419) 872-0777

3141 Central Park W
Toledo, OH 43617-1083
Phone (419) 872-0777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.2 of 100Reported as group
Quality
82.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.001907OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1902083835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 ROACHTON ROAD",
            "address_2": "SUITE #1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515230",
            "telephone_number": "419-872-0777",
            "fax_number": "419-872-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 ROACHTON ROAD",
            "address_2": "SUITE #1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515230",
            "telephone_number": "419-872-0777",
            "fax_number": "419-872-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.001907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.