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SHARYL J TRUTY MD NPI 1093767147


NPI Information

NPI: 1093767147
Provider Name: SHARYL J TRUTY, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
115 PROFESSIONAL DR
SUITE 104
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 930-4774
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Sharyl J Truty, MD is a specialist in Ponte Vedra Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Sharyl J Truty, MD NPI is 1093767147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 PROFESSIONAL DR
SUITE 104
PONTE VEDRA BEACH, FL
ZIP 32082-259
Phone: (904) 930-4774
Fax: (904) 647-2476

The NPI 1093767147 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME91242FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036105329MEDICAIDILLINOIS
2H69060MEDICARE UPINFLORIDA
3H69060MEDICARE UPINILLINOIS
4IM454ABPC30459YMEDICARE OSCAR/CERTIFICATIONFLORIDA
5K27627MEDICARE PINILLINOIS
6IM454ABPC30459YMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.