ROME SHERROD II MD – NPI #1124201892
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
ROME SHERROD II MD is an AHC clinic located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1124201892 to ROME SHERROD II MD on December 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ROME SHERROD II MD is also known by the name TRI-STATE HEALTHCARE FOR WOMEN. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was previously updated about 13 years ago on Jun 10, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROME SHERROD II MD below.
NPI Profile for
ROME SHERROD II MD
(more than 18 years ago)
SOUTHAVEN, MS 38671-5138 Phone: (662) 349-9370 Fax: (662) 349-9372
OWNER
Phone: (662) 349-9370
Identifiers for ROME SHERROD II MD
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | TN | 2008964 |
| OTHER | BLUE CROSS BLUE SHIELD MS | MS | 427842189 |
| MEDICAID | MS | 0013667 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.