Active NPI
Sheridan Healthcorp Inc
- Anesthesiology Physician
- Miami, FL
National Provider Identifier
1093387359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SHERIDAN HEALTHCORP INC
- Practice address
- 120 NE 167TH St
Miami, FL 33162-3403 - Phone
- (877) 328-1119
- NPI assigned
- Jul 15, 2021
- 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
- Karen Vaughn
- Title
- Officer
- Phone
- (973) 251-1132
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
120 NE 167TH St
Miami, FL 33162-3403
Mailing address
PO Box 744538
Atlanta, GA 30374-4538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031208000355 | FL | Part B Supplier - Clinic/Group Practice | 3173429693 |
Receives reassigned benefits from 2,001 practitioners This NPI is an additional NPI on the enrollment Practice locations: North Miami Beach, FL; Ocala, FL; Okeechobee, FL; Orange Park, FL; Oviedo, FL; Palm Beach Gardens, FL; Palm Coast, FL; Pembroke Pines, FL… |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1093387359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744538",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NE 167TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331623403",
"telephone_number": "877-328-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN HEALTHCORP INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-15",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "973-251-1132"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Sheridan
- Sheridan
- Sheridan
- Sheridan Emergency Physician Services of South Dade Inc
- Sheridan Emergency Physician Services of South Florida, Inc.
- Sheridan Healthcorp Inc
- Sheridan Healthcorp Inc
- Sheridan Radiology Services of Central Florida, Inc.
- Sheridan Radiology Services of Central Florida, Inc.
- Sheridan Radiology Services of Kentucky, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.