Surgicare Sheridan Surgical Services

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3977 Issued in AZ

Legal business name

SURGICARE SHERIDAN SURGICAL SERVICES

Practice address

3035 S Ellsworth Rd
Suite 104
Mesa, AZ 85212-2160

Phone

(480) 354-7478

Fax

(480) 354-7480

NPI assigned

May 22, 2006

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Valerie L Sheridan, DONPI 1679554661

Title

Office Owner

Phone

(866) 692-0362

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie L Sheridan, DO

  • Surgery Physician
  • Mesa, AZ
  • NPI 1679554661
  Authorized official Same address or phone

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1144275025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51058",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852080053",
            "telephone_number": "866-692-0362",
            "fax_number": "480-354-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S ELLSWORTH RD",
            "address_2": "SUITE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122160",
            "telephone_number": "480-354-7478",
            "fax_number": "480-354-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE SHERIDAN SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE OWNER",
        "authorized_official_telephone_number": "866-692-0362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "3977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgery Center of Arizona LLC
• Surgery Center of Gilbert LLC
• Surgery Center of Mesa LLC
• Surgical Physicians Assistants Inc
• Surgical Professionals, Inc
• Yolaine Suri Chavez
• Jeffrey Blaine Surina, MD
• Ana-Maria Suroiu, M.D.
• Survivors Educating Loving Friends and Family, Inc. (SELFF, Inc.)
• Susan Bazzell, MD, PLLC

• Preferred Provider Organization in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.