DR. SHERRY A REID (NPI# 1104835412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104835412 |
| Entity Type | Individual |
| Full Name | DR. SHERRY A REID |
| Credential | MD |
| Practice Address |
1770 E Lake Shore Dr Lowr Ll1 Decatur IL 62521-3832 |
| Practice Telephone | 2174641340 |
| Mailing Telephone | 2174641340 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036143208 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0083878 | 05 | |
| MT | BCBS | 000098445 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861508012 | Sherry Elaine Reid | Registered Nurse | 90 North 31st Str, Clinton, OK 73601-9116 | 2006-08-21 |
| Street Address |
1770 E LAKE SHORE DR LOWR LL1 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891268991 | Kimberly S Fauke-havener | Nurse Practitioner | 1770 E Lake Shore Dr Lowr Ll1, Decatur, IL 62521-3832 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912140401 | Sonya M Soliman | Psychiatry & Neurology | 1215 7th St Se Ste 260, Decatur, AL 35601-3399 | 2009-04-13 |
| 1356418586 | Douglas James Dove | Psychiatry & Neurology | Two Memorial Drive, Suite 200, Decatur, IL 62526-1590 | 2006-11-30 |
| 1689608218 | Michael Ashley Norman | Psychiatry & Neurology | 2665 North Decatur Rd, Ste 630, Decatur, GA 30033-4167 | 2006-07-10 |
| 1992738637 | Neurology and Headache Specialists of Atl, LLC | Psychiatry & Neurology | 2665 North Decatur Road, Ste 630, Decatur, GA 30033-4167 | 2006-07-08 |
| 1417948415 | Allied Physicians Inc., D/b/a Fort Wayne Neurololgy | Psychiatry & Neurology | 815 High St, Suite A, Decatur, IN 46733-2351 | 2005-10-31 |
| 1639170095 | Eston Gibbons Norwood IIi | Psychiatry & Neurology | 1215 7th St Se, #260, Decatur, AL 35601-3304 | 2005-08-09 |
| 1508869116 | Muhammad Naeem | Psychiatry & Neurology | 2351 S Fm 51 Ste 100, Decatur, TX 76234-3778 | 2005-05-27 |
| 1144691908 | Decatur Morgan Neurology | Psychiatry & Neurology | 1215 7th St Se, Suite 260, Decatur, AL 35601-3337 | 2015-10-19 |
| 1457722209 | Intensive Neuromonitoring LLC | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2015-10-19 |
| 1649537416 | Dekalb Neurology Group, LLC | Psychiatry & Neurology | 2665 N Decatur Rd, Suite 540, Decatur, GA 30033-6149 | 2012-04-18 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.