Provider Demographics
NPI:1376582585
Name:OWENS, SHERI A (MD)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:A
Last Name:OWENS
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 1:6000 W HIGHWASY 98
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32512-0001
Mailing Address - Country:US
Mailing Address - Phone:850-505-6570
Mailing Address - Fax:850-505-6623
Practice Address - Street 1:6000 W HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32512-7830
Practice Address - Country:US
Practice Address - Phone:850-505-6570
Practice Address - Fax:850-505-6623
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15412207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51515611OtherBLUE CROSS
LA1165867Medicaid
IN000000848502OtherBCBS
MS02204785Medicaid
AL009911075Medicaid
FL266411900Medicaid
AL51513677OtherBLUE CROSS
AL74-10755OtherUNITED HEALTH CARE
IN255580004Medicare PIN
AL51515611OtherBLUE CROSS
AL51513677OtherBLUE CROSS
FL266411900Medicaid