Provider Demographics
NPI:1225197411
Name:RICHEY, SHERRIE DEE (MD)
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:DEE
Last Name:RICHEY
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:PO BOX 230362
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99523-0362
Mailing Address - Country:US
Mailing Address - Phone:907-561-4567
Mailing Address - Fax:907-561-8473
Practice Address - Street 1:1200 AIRPORT HEIGHTS DRIVE,
Practice Address - Street 2:SUITE 227
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-561-4567
Practice Address - Fax:907-561-8473
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3385207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1330Medicaid
K00WFBZGAMedicare PIN
AKMD1330Medicaid
F34705Medicare UPIN
AKF34705Medicare UPIN