Provider Demographics
NPI:1215981923
Name:FALKOS, SHERYL (MD)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:FALKOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640
Mailing Address - Country:US
Mailing Address - Phone:251-415-1546
Mailing Address - Fax:251-415-1026
Practice Address - Street 1:1700 CENTER ST
Practice Address - Street 2:PICU
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3301
Practice Address - Country:US
Practice Address - Phone:251-415-1546
Practice Address - Fax:251-415-1026
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL232712080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL12-10519OtherUNITED HEALTH CARE
MS00121889Medicaid
AL009927050Medicaid
FL259902300Medicaid
AL51097439OtherBLUE CROSS
LA1569437Medicaid
LA1569437Medicaid
LA1569437Medicaid