Basic Information
Provider Information
NPI: 1689619850
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHEER
FirstName: WILLIAM
MiddleName: HOWARD
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4401 W MEMORIAL RD
Address2: SUITE 121
City: OKLAHOMA CITY
State: OK
PostalCode: 731341785
CountryCode: US
TelephoneNumber: 4057514664
FaxNumber: 4057494561
Practice Location
Address1: 4101 TORRANCE BLVD
Address2: EM DEPT
City: TORRANCE
State: CA
PostalCode: 905034607
CountryCode: US
TelephoneNumber: 3105407676
FaxNumber: 4057494561
Other Information
ProviderEnumerationDate: 06/19/2006
LastUpdateDate: 05/21/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XG32101CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
00G32101005CA MEDICAID


Home