Active NPI
Sheridan Children'S Healthcare Services of South Carolina, P.a.
- Neonatal-Perinatal Medicine Physician
- Summerville, SC
National Provider Identifier
1023364734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF SOUTH CAROLINA, P.A.
- Practice address
- 295 Midland Pkwy
Summerville, SC 29485-8104 - Phone
- (843) 832-5100
- NPI assigned
- Jul 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- M. Richard Auerbach, MD
- Title
- President
- Phone
- (954) 838-2371
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | |||
| Pediatrics Physician | 208000000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary | ||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | |||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
295 Midland Pkwy
Summerville, SC 29485-8104
Mailing address
PO Box 452106
Sunrise, FL 33345-2106
National Provider Directory
National Provider Directory- Tax ID family
- Sheridan Children'S Healthcare Services of South Carolina PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neonatal-Perinatal Medicine Physician
- Charleston, SC
- NPI 1184976524
-
- Pediatrics Physician
- Myrtle Beach, SC
- NPI 1316342504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352678400000",
"number": "1023364734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452106",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 MIDLAND PKWY",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858104",
"telephone_number": "843-832-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF SOUTH CAROLINA, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-31",
"last_updated": "2012-11-12",
"status": "A",
"authorized_official_last_name": "AUERBACH",
"authorized_official_first_name": "M. RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-838-2371",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.