Active NPI
Theresa Rita Sheridan, D.O.
- Family Medicine Physician
- Grove City, OH
National Provider Identifier
1225345259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.010381
- Practice address
- 1957 Ohio Dr
Grove City, OH 43123-4835 - Phone
- (614) 366-5671
- Fax
- (614) 688-7581
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.010381 | OH | Primary |
Addresses
Primary practice location
1957 Ohio Dr
Grove City, OH 43123-4835
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 366-5671
Other practice location 1
82 W Streetsboro St
Hudson, OH 44236-2876
Phone (330) 344-7650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB216759 | Other | CA | PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TheresaSheridan@UHPS.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12819 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Family Medicine | Current | Accepting new patients |
| 4M Emergency Systems Tod LLC | Current | Accepting new patients |
Locations
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040
Interoperability endpoints
- tsheridan803456@direct.ketteringhealth.org
- theresasheridan@uhps.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1902859556
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1225345259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-366-5671",
"fax_number": "614-688-7581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1957 OHIO DR",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431234835",
"telephone_number": "614-366-5671",
"fax_number": "614-688-7581"
}
],
"practiceLocations": [
{
"address_1": "82 W Streetsboro St",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "OH",
"postal_code": "442362876",
"country_code": "US",
"telephone_number": "330-344-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERIDAN",
"first_name": "THERESA",
"middle_name": "RITA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.010381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CB216759",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TheresaSheridan@UHPS.allscriptsdirect.net",
"affiliation": "N",
"address_1": "82 W Streetsboro St",
"city": "Hudson",
"state": "OH",
"country_code": "US",
"postal_code": "442362876",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.