Physician Compare National (NPI:1720261472)

HEALTHCARE PROVIDER: SHERRY LABIB GERGIS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720261472
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173800091
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170503002128
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GERGIS
	Individual professional last name
Provider First Name	SHERRY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1301 S INTERNATIONAL PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2021
	Group Practice or individual's line 2 address
City	LAKE MARY
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	327461411
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y