Provider Demographics
NPI:1861474926
Name:JAMES-SURGERS, SHERRI YVETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:YVETTE
Last Name:JAMES-SURGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHERRI
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:
Practice Address - Street 1:905 W MAIN ST STE B101
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2054
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6137207Q00000X
NC2009-01521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912873Medicaid
BJ4088729OtherDEA #
NCNC5956AMedicare UPIN
NC5912873Medicaid