Active NPI
Sheridan Anesthesia Services of Maryland PC
- Anesthesiology Physician
- Baltimore, MD
National Provider Identifier
1215993092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SHERIDAN ANESTHESIA SERVICES OF MARYLAND PC
- Practice address
- 827 Linden Ave
Baltimore, MD 21201-4606 - Phone
- (410) 225-8000
- NPI assigned
- Apr 21, 2006
- Last updated
- May 5, 2023
- 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
- (954) 838-2371
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary | |
| Certified Registered Nurse Anesthetist | 367500000X | NU |
Addresses
Primary practice location
827 Linden Ave
Baltimore, MD 21201-4606
Mailing address
PO Box 744591
Atlanta, GA 30374-4591
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405117300 | Medicaid | MD | |
| 830A | Other | MD | BCBS |
| DB7842 | Other | MD | RAILROAD |
| 602381600 | Other | MD | OWCP |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Certified Registered Nurse Anesthetist
- Sunrise, FL
- NPI 1831159599
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plantation, FL
- NPI 1770559106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1215993092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744591",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 LINDEN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014606",
"telephone_number": "410-225-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN ANESTHESIA SERVICES OF MARYLAND PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "954-838-2371"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405117300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "830A",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "DB7842",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "602381600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.