Sheridan Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

846 Issued in FL

Legal business name

SHERIDAN SURGERY CENTER

Practice address

95 Bulldog Blvd
Ste104
Melbourne, FL 32901-3332

Phone

(321) 952-9800

Fax

(321) 952-7889

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Scott Seminer, MD

Title

President

Phone

(321) 676-1870

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1174594584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BULLDOG BLVD",
            "address_2": "STE104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013332",
            "telephone_number": "321-952-9800",
            "fax_number": "321-952-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BULLDOG BLVD",
            "address_2": "STE104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013332",
            "telephone_number": "321-952-9800",
            "fax_number": "321-952-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "SEMINER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-676-1870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079177600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490003969",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "62Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Sheppard, P.A.
• Stephen Ashley Sherbin Sr., HAS, BC-HIS
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp, Inc.
• Sherri M. Lorraine
• Ting-Chang Sheu, DO
• Elizabeth Inez Shidemantle, BS MS CAC
• Cynthia Shinaberry, LCSW
• Thomas Shipley

• Ambulatory Surgical Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

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