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Organization Active NPI

Sheridan Drozdow Healthcare of Nevada PC

Doing business as Sheridan Healthcare of Nevada PC

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1003019266
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SHERIDAN DROZDOW HEALTHCARE OF NEVADA PC
Doing business as
Sheridan Healthcare of Nevada PC
Practice address
6900 North Durango Drive
Las Vegas, NV 89149-4409
Phone
(702) 360-9040
NPI assigned
Jun 6, 2007
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Weisberg
Title
Sole Shareholder, Owner
Phone
(954) 838-2371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

6900 North Durango Drive
Las Vegas, NV 89149-4409

Mailing address

1613 NW 136TH Ave
Building C, Suite 200
Sunrise, FL 33323-2853

Other identifiers 1

IdentifierTypeStateIssuer
1003019266 (GROUP #)MedicaidNV

Other names 1

  • Sheridan Healthcare of Nevada PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1003019266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 NW 136TH AVE",
            "address_2": "BUILDING C, SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 NORTH DURANGO DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494409",
            "telephone_number": "702-360-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN DROZDOW HEALTHCARE OF NEVADA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE SHAREHOLDER, OWNER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003019266 (GROUP #)",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan Healthcare of Nevada PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.