Provider Demographics
NPI:1427062058
Name:WEBB, SHERILYN M (MD)
Entity type:Individual
Prefix:
First Name:SHERILYN
Middle Name:M
Last Name:WEBB
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SHERILYN
Other - Middle Name:
Other - Last Name:MCDADE WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:
Mailing Address - City:MENA
Mailing Address - State:AR
Mailing Address - Zip Code:71953-1841
Mailing Address - Country:US
Mailing Address - Phone:888-710-8220
Mailing Address - Fax:866-573-0761
Practice Address - Street 1:136 HEALTH PARK DR
Practice Address - Street 2:
Practice Address - City:MENA
Practice Address - State:AR
Practice Address - Zip Code:71953-9072
Practice Address - Country:US
Practice Address - Phone:888-710-8220
Practice Address - Fax:866-573-0761
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-4221207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY104700100Medicaid
AR5I318OtherBCBS
WY826010000OtherWPS TRIWEST
WYP00191575OtherRAILROAD MEDICARE
AR198287001Medicaid
WY313093OtherBLUE SHIELD
AR5I318OtherBCBS
WY826010000OtherWPS TRIWEST
AR198287001Medicaid