Provider Demographics
NPI:1467495978
Name:NAGLE, SHERYL (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:
Last Name:NAGLE
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 64374
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4374
Mailing Address - Country:US
Mailing Address - Phone:667-214-1616
Mailing Address - Fax:410-328-1674
Practice Address - Street 1:250 W PRATT ST
Practice Address - Street 2:SUITE 770
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2423
Practice Address - Country:US
Practice Address - Phone:667-214-1616
Practice Address - Fax:410-328-1674
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD34866207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC11298OtherRAILROAD MEDICARE GROUP
MD486661400Medicaid
MD050047415Medicare PIN
MDCA8702Medicare PIN
MDC11298OtherRAILROAD MEDICARE GROUP
MDN369Medicare ID - Type Unspecified
MDN369Medicare PIN