Provider Demographics
NPI:1558428227
Name:TENPENNY, SHERRI JANE (DO)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:JANE
Last Name:TENPENNY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SHERRI
Other - Middle Name:JANR
Other - Last Name:TENPENNY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7264 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-1510
Mailing Address - Country:US
Mailing Address - Phone:440-239-3438
Mailing Address - Fax:440-239-3440
Practice Address - Street 1:7380 ENGLE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3429
Practice Address - Country:US
Practice Address - Phone:440-826-1026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0003789207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0754601Medicare ID - Type Unspecified
OHA16579Medicare UPIN