MEDICARE: SHERRI A THOMAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35.073656	OH
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	35.073656	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336137066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI A THOMAS MD

Provider Business Mailing Address
First Line	:	2200 JEFFERSON AVE FL 5
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-7102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 CHERRY ST STE 2300
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43608-2675
Country	:	US
Telephone Number	:	419-251-8015
Fax Number	:	419-251-7824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	04/26/2018

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Directions to “ SHERRI A THOMAS MD” Practice Location

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