Provider Demographics
NPI:1619034337
Name:HAMMES, CHERYL ANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANNE
Last Name:HAMMES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6349 ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1745
Mailing Address - Country:US
Mailing Address - Phone:216-410-6329
Mailing Address - Fax:866-517-8990
Practice Address - Street 1:6909 ROYALTON RD
Practice Address - Street 2:SUITE 104
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2474
Practice Address - Country:US
Practice Address - Phone:440-792-4096
Practice Address - Fax:866-517-8990
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2016-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007333207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH24659Medicare UPIN
OH4055271Medicare ID - Type Unspecified