Provider Demographics
NPI:1093976375
Name:SCHWARTZ, SHERRI LYNNE (MD)
Entity Type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:LYNNE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-912-7193
Mailing Address - Fax:859-441-2230
Practice Address - Street 1:1400 GRAND AVENUE
Practice Address - Street 2:ST ELIZABETH PHYSICIANS
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2570
Practice Address - Country:US
Practice Address - Phone:859-912-7193
Practice Address - Fax:859-441-2230
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL31014207Q00000X
KY44286207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0051166Medicaid
KY7100172780Medicaid
KYP00963060OtherRAIL ROAD MEDICARE
KYK007380Medicare PIN