Provider Demographics
NPI:1164413050
Name:CARNEY, SHERRI LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:LYNN
Last Name:CARNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 CROCKER RD
Mailing Address - Street 2:SUITE 540
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-6966
Mailing Address - Country:US
Mailing Address - Phone:440-835-0563
Mailing Address - Fax:440-835-8434
Practice Address - Street 1:2001 CROCKER RD
Practice Address - Street 2:SUITE 540
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-6966
Practice Address - Country:US
Practice Address - Phone:440-835-0563
Practice Address - Fax:440-835-8434
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083660207R00000X
OH35083660CTR207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH061716660OtherEMERALD
OH2456533Medicaid
OH061716660OtherUNITED HEALTH CARE
OH7729573OtherAETNA
OH061716660026OtherCARESOURCE
OH061716660OtherSUMMA
OH583660OtherAPEX
OH000000345227OtherANTHEM
OHCA4129111Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NO.
OH2456533Medicaid