Provider Demographics
NPI:1487640421
Name:BARR, SHERRI L (MD)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:L
Last Name:BARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:L
Other - Last Name:BLANDFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9330 MARKET SQUARE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-3958
Mailing Address - Country:US
Mailing Address - Phone:330-626-0508
Mailing Address - Fax:330-626-2112
Practice Address - Street 1:9330 MARKET SQUARE DR STE 100
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-3958
Practice Address - Country:US
Practice Address - Phone:330-626-0508
Practice Address - Fax:330-626-2112
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2085587Medicaid
0858384Medicare PIN
OH2085587Medicaid