Provider Demographics
NPI:1053423608
Name:GEHRINGER, SHARON KAY (PA-C)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:GEHRINGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115A CORAL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2131
Mailing Address - Country:US
Mailing Address - Phone:831-454-2080
Mailing Address - Fax:
Practice Address - Street 1:115A CORAL ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2131
Practice Address - Country:US
Practice Address - Phone:831-454-2080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14434207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA14434OtherCA LIC
CAMG0934198OtherDEA