Provider Demographics
NPI:1427014943
Name:HINTON SCOTT, SHERRYL DENESE (MD)
Entity Type:Individual
Prefix:MRS
First Name:SHERRYL
Middle Name:DENESE
Last Name:HINTON SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SHERRYL
Other - Middle Name:DENESE
Other - Last Name:HINTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31100 TELEGRAPH RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4363
Mailing Address - Country:US
Mailing Address - Phone:248-290-0390
Mailing Address - Fax:248-290-0359
Practice Address - Street 1:31100 TELEGRAPH RD STE 240
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4347
Practice Address - Country:US
Practice Address - Phone:248-290-0390
Practice Address - Fax:248-290-0935
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME158101207V00000X
MISH054409207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN90690001Medicare PIN
MIG07578Medicare UPIN
MI0N90690Medicare PIN