Sulik Sheridan Anderson Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112144 Issued in TX

Legal business name

SULIK SHERIDAN ANDERSON INC

Doing business as

Sheridan on Anderson

Practice address

1115 Anderson St
College Station, TX 77840-4465

Phone

(979) 693-1515

Fax

(979) 696-0462

NPI assigned

Dec 7, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lynda Beard

Title

Cao

Phone

(979) 846-4633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sheridan on Anderson Doing business as

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124003678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4045",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778054045",
            "telephone_number": "979-846-4633",
            "fax_number": "979-846-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ANDERSON ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404465",
            "telephone_number": "979-693-1515",
            "fax_number": "979-696-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULIK SHERIDAN ANDERSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "979-846-4633",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER",
            "identifier": "5050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan on Anderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Anthony Styduhar Jr., D.O.
• Andrea Suarez
• Ben L Sueoka, M.D.
• Jothi A Sukkawala, M.D.
• Ketan Arun Sukkawala, DDS
• Sulik Sheridan Rock Priarie Inc. (Sheridan on Rock Prairie)
• Amy Elizabeth Sullivan, LPC
• Kelly Ingrid Sullivan, MD
• Seth J. Sullivan, M.D.
• Tara Sulser, RN

• Skilled Nursing Facility in College Station, TX
• Providers in College Station, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.