SHIRLEY T SHERROD MD PC (NPI# 1215962345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215962345 |
| Entity Type | Organization |
| Organization Name | SHIRLEY T SHERROD MD PC |
| Practice Address |
22200 W 11 Mile Rd Box No. 515 Southfield MI 48037-7136 |
| Practice Telephone | 3133207200 |
| Mailing Telephone | 3133207200 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-04-08 |
| Authorized Official Name | DR. SHIRLEY T SHERROD (MD) |
| Authorized Official Telephone | 3133207200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301033837 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OMNICARE COVENTRY PIN | 48818 | 01 |
| MI | HEALTH ALLIANCE PLAN PIN | B43583 | 01 |
| MI | GREAT LAKES HEALTH PLAN PIN | 122752 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 1808205381 | 01 |
| MI | AETNA PIN | 5536239 | 01 |
| MI | 1097952 10 | 05 | |
| MI | WELLNESS PLAN PIN | 1213150005 | 01 |
| Street Address |
22200 W 11 MILE RD BOX NO. 515 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48037-7136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403694 | First Step Counseling and Educational Services, LLC | Social Worker | 22200 W 11 Mile Rd, Southfield, MI 48037-7136 | 2019-02-12 |
| 1275007544 | Anisha A Wilcox | Nurse Practitioner | 22200 W 11 Mile Rd, Southfield, MI 48037-3451 | 2019-01-19 |
| 1457803306 | Pase & Associates Counseling Center LLC | Counselor | 22200 W 11 Mile Rd, Suite 387, Southfield, MI 48037-7136 | 2016-10-26 |
| 1518315076 | Marquita Lashonne Betts-fields | Technician, Other | 22200 W 11 Mile Rd, Ste 2433, Southfield, MI 48037-7136 | 2016-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790878197 | Candace M Chu | Nurse Anesthetist, Certified Registered | 1101 W. University, Anesthesia Department, Rochester, MI 48037 | 2006-09-30 |
| 1023477072 | Samara Taylor | Technician, Other | 22200 W 11 Mile Rd Unit 2966, Southfield, MI 48037-7079 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487550 | Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 27680 Franklin Rd, Southfield, MI 48034-8203 | 2020-11-06 |
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
| 1770184251 | Think To Thrive Psychological Services Pllc | Psychologist | 16250 Northland Dr Ste 204b, Southfield, MI 48075-5205 | 2020-11-03 |
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
| 1699375915 | Derrick Darnell Gills | Specialist | 29935 Northwestern Hwy, Southfield, MI 48034-1020 | 2020-10-27 |
| 1366042830 | Denisha Henry | Dental Hygienist | 28009 Berkshire Dr, Southfield, MI 48076-2449 | 2020-10-26 |
| 1053910687 | Berry Johnson Health Pllc | Internal Medicine | 30123 Rock Creek Dr, Southfield, MI 48076-5358 | 2020-10-24 |
| 1740888122 | Mosobalaje I Adewole | Contractor | 22448 Hallcroft Trl, Southfield, MI 48034-5498 | 2020-10-16 |
| Find all providers in SOUTHFIELD | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
| 1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
| 1548655152 | Bianca Kizy | Ophthalmology | 29201 Telegraph Rd Ste 101, Southfield, MI 48034-7630 | 2015-03-31 |
| 1588977656 | Randee Miller Watson | Ophthalmology | 29201 Telegraph Rd Ste 606, Southfield, MI 48034-1300 | 2010-07-19 |
| 1063578912 | Associated Vision Consultants Pllc | Ophthalmology | 29275 Northwestern, Suite 200, Southfield, MI 48034-5744 | 2006-12-28 |
| 1164599437 | Advanced Eye Care Md PC | Ophthalmology | 23077 Greenfield Suite 144, Southfield, MI 48075-3738 | 2006-11-29 |
| 1124094651 | Alon Kahana | Ophthalmology | 29201 Telegraph Rd Ste 324, Southfield, MI 48034-7646 | 2006-02-24 |
| 1730170234 | Joel Zacks | Ophthalmology | 15914 Jeanette St, Southfield, MI 48075-2013 | 2005-11-02 |
| 1184615767 | Charlotte M Liioi Hartzell | Ophthalmology | 26400 W 12 Mile Rd Ste 60, Southfield, MI 48034-1774 | 2005-11-02 |
| 1952392813 | Michael Y Greenley | Ophthalmology | 28905 Northwestern Hwy, Southfield, MI 48034-1805 | 2005-10-31 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48037 |
Please comment or provide details below to improve the information on SHIRLEY T SHERROD MD PC.
| 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.