SHERIL MATHEW (NPI# 1023488913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023488913 |
| Entity Type | Individual |
| Full Name | SHERIL MATHEW |
| Other Name | SHERIL BABU THOMAS |
| Practice Address |
1701 Renaissance Blvd Edmond OK 73013-3086 |
| Practice Telephone | 4058444978 |
| Practice Fax Number | 4058440562 |
| Mailing Telephone | 4058444978 |
| Mailing Fax Number | 4058440562 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R0116015 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICAL LICENSE | R0116015 | 01 |
| Street Address |
1701 RENAISSANCE BLVD |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044015 | Rick D Beller | Orthopaedic Surgery | 1701 Renaissance Blvd, Suite 100, Edmond, OK 73013-3084 | 2005-09-20 |
| 1578069407 | Shawna Diane Seelbach | Nurse Practitioner | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2018-03-31 |
| 1700248101 | Emily John | Physician Assistant | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2016-03-24 |
| 1225498603 | Brian Shawn Mccullough | Pharmacist | 1701 Renaissance Blvd, Ste. 120, Edmond, OK 73013-3086 | 2016-02-29 |
| 1710124391 | Sara Parr | Physician Assistant | 1701 Renaissance Blvd, Ste 110, Edmond, OK 73013-3086 | 2009-01-19 |
| 1861535908 | Linda Ann Zacharias | Internal Medicine | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2007-02-15 |
| 1609939255 | Jennifer Marie Fay Damitsian | Nurse Practitioner | 1701 Renaissance Blvd, Ste 110, Edmond, OK 73013-3084 | 2006-12-18 |
| 1174558738 | Sharon P Bolton | Physician Assistant | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3086 | 2006-07-12 |
| 1043288673 | Craig W Carson | Internal Medicine | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3084 | 2006-03-09 |
| 1215905971 | Ana Kumar | Internal Medicine | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184121907 | Elizabeth Ann Jackson | Clinical Nurse Specialist | 1 S Bryant Ave, Edmond, OK 73034-6398 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842848 | Integrated Care Professionals of Oklahoma, LLC | Clinical Nurse Specialist | 1831 E 71st St Ste 323, Tulsa, OK 74136-3922 | 2020-08-17 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1962800466 | David Sparlin | Clinical Nurse Specialist | 2328 Emily Lane, Purcell, OK 73080-0308 | 2014-12-15 |
| 1518390061 | Margaret Elaine Haxton | Clinical Nurse Specialist | 700 Ne 10th St, Oklahoma City, OK 73104-5404 | 2013-08-19 |
| 1861634172 | Stephanie T Bates | Clinical Nurse Specialist | 115 S Elliott St, Pryor, OK 74361-5407 | 2009-04-01 |
| 1356589311 | Mary S Gilliland | Clinical Nurse Specialist | 1301 W 6th Ave Ste 207, Stillwater, OK 74074-4381 | 2009-01-29 |
| 1225245194 | Amy Danielle Hulsey | Clinical Nurse Specialist | 6800 Nw 39th Expressway, Bethany, OK 73008 | 2007-05-17 |
| 1811968977 | Veronica Lynn Wells | Clinical Nurse Specialist | 4502 E 41 St, Ste 2g12, Tulsa, OK 74135 | 2006-01-27 |
| 1649267436 | Tracey L Walker | Clinical Nurse Specialist | 2201 W Iowa Ave Ste 4, Chickasha, OK 73018-2732 | 2005-10-05 |
| 1497364699 | Stacie Jenelle Hanes | Clinical Nurse Specialist | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8358 | 2020-07-24 |
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| 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.