Active NPI
Sheridan Healthcorp Inc
- Anesthesiology Physician
- Fort Lauderdale, FL
National Provider Identifier
1114490638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SHERIDAN HEALTHCORP INC
- Practice address
- 1925 NE 45TH St
Fort Lauderdale, FL 33308-5121 - Phone
- (469) 401-2386
- NPI assigned
- Jan 8, 2019
- 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
1925 NE 45TH St
Fort Lauderdale, FL 33308-5121
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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Palm Beach Gardens, FL
- NPI 1821532177
Nurse Anesthetist, Certified Registered
-
- Anesthesiologist Assistant
- West Palm Beach, FL
- NPI 1346868908
-
- Anesthesiology Physician
- West Palm Beach, FL
- NPI 1902007065
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1306810056
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1316392707
-
- Anesthesiology Physician
- Coral Springs, FL
- NPI 1508174905
-
- Anesthesiology Physician
- Miami, FL
- NPI 1023212586
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1114995578
-
- Anesthesiology Physician
- Arlington Heights, IL
- NPI 1295759710
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1184834566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1114490638",
"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": "1925 NE 45TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085121",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN HEALTHCORP INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-08",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"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 Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.