Sheridan Pulmonary Group LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

D21846 Issued in MD

Legal business name

SHERIDAN PULMONARY GROUP LLC

Practice address

6830 Hospital Dr
Suite 102
Baltimore, MD 21237-4373

Phone

(410) 687-6622

Fax

(410) 687-7039

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Martin Jerome Sheridan, MD

Title

President

Phone

(410) 687-6622

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1063742013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374373",
            "telephone_number": "410-687-6622",
            "fax_number": "410-687-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374373",
            "telephone_number": "410-687-6622",
            "fax_number": "410-687-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN PULMONARY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-687-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D21846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256331200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalpana Shere-Wolfe, MD
• Roger Francis Shere-Wolfe, M.D
• Risa Gale Sherer, DPM
• Alla Shereshevsky
• Sheridan Anesthesia Services of Maryland PC
• Lily Catherine Sheridan
• Martin J Sheridan, MD
• Molly Barbara Sheridan, PH.D.
• Shebretta Sheridan, CPI
• Seyda Ahmed Sherif

• Pulmonary Disease Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pulmonary Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.