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NICHOLAS E SHEROCK JR DO LLC NPI 1700193810


NPI Information

NPI: 1700193810
Provider Name: NICHOLAS E SHEROCK JR DO LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
830 S MAIN ST
#102
ORRVILLE, OH
ZIP 44667
Phone: (330) 684-4707
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NICHOLAS E SHEROCK JR DO LLC is an obstetrics gynecology in Orrville, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NICHOLAS E SHEROCK JR DO LLC NPI is 1700193810. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

830 S MAIN ST
#102
ORRVILLE, OH
ZIP 44667-291
Phone: (330) 684-4707
Fax: (330) 684-4733

The provider's authorized official is Nicholas E Sherock .
The authorized official title is Physician and has the following contact phone number (330) 684-4707.

The enumeration date for this NPI number is 9/10/2010 and was last updated on 11/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology34-005035OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10976252MEDICAIDOHIO
21134115926OTHEROHIOINDIVIDUAL NPI
3F80353OTHEROHIOUPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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