CHRISTINA RENEE SHERROD (NPI# 1932422383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932422383 |
| Entity Type | Individual |
| Full Name | CHRISTINA RENEE SHERROD |
| Credential | MD |
| Practice Address |
3900 Boat Club Rd Lake Worth TX 76135-3201 |
| Mailing Address |
Po Box 733784 Dallas TX 75373-3784 |
| Practice Telephone | 8172377161 |
| Mailing Telephone | 6828856483 |
| Mailing Fax Number | 6828853113 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | P0480 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | P0480 | 01 |
| TX | 282658807 | 05 | |
| TX | 282658801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 Welborn St, Dallas, TX 752193924 | 2145595000 | 2144437309 |
| Street Address |
3900 BOAT CLUB RD |
| City | LAKE WORTH |
| State | TX |
| Zip Code | 76135-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063594190 | Wayne W Yee | Pediatrics | 3900 Boat Club Rd, Lake Worth, TX 76135-3201 | 2006-10-19 |
| 1023197894 | Monica S Farias | Pediatrics | 3900 Boat Club Rd, Lake Worth, TX 76135-3201 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| 1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1316134125 | Home Town Dental,pa | Dentist | 6332 Lake Worth, Lake Worth, TN 76135 | 2007-09-26 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1457570053 | Dawn Denise Ezelle | Occupational Therapy Assistant | 3400 Marine Drive, Fort Worth, TX 76135 | 2007-04-24 |
| Find all providers in zip 76135 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235528035 | Jacqueline Guillaume | Pediatrics | 9595 Caserta St, Lake Worth, FL 33467-5220 | 2015-01-16 |
| 1184920613 | Soma Medical Center, P. A #4 | Pediatrics | 421 S Dixie Hwy, Lake Worth, FL 33460-4442 | 2011-02-01 |
| 1750693867 | Mercedes Gadea Lopez | Pediatrics | 330 S Dixie Hwy, Suite #3, Lake Worth, FL 33460-4400 | 2010-07-06 |
| 1063566438 | Edelstein Pediatrics | Pediatrics | 5820 Jog Rd, Lake Worth, FL 33467-6511 | 2007-01-23 |
| 1063594190 | Wayne W Yee | Pediatrics | 3900 Boat Club Rd, Lake Worth, TX 76135-3201 | 2006-10-19 |
| 1538253604 | Lawrence Lutner | Pediatrics | 10902 Royal Devon Way, Lake Worth, FL 33467-8652 | 2006-10-03 |
| 1699783183 | Dhruti Pandya | Pediatrics | 4075 S State Road 7 Ste H1, Lake Worth, FL 33449-8152 | 2006-08-03 |
| 1780637975 | Zulma Enid Flores | Pediatrics | 3580 Lake Worth Road, Lake Worth, FL 33460 | 2006-05-18 |
| 1629056536 | Lee Wichner Edelstein | Pediatrics | 6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467-7251 | 2006-01-03 |
| 1134118797 | Lisa Simons | Pediatrics | 4075 State Road 7, H1, Lake Worth, FL 33449-8186 | 2005-10-17 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 76135 |
Please comment or provide details below to improve the information on CHRISTINA RENEE SHERROD.
| 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.