Individual provider Active NPI

Theresa Rita Sheridan, D.O.

  • Family Medicine Physician
  • Grove City, OH
National Provider Identifier
1225345259
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.010381 Issued in OH
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

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CB216759OtherCAPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000402 OH Practitioner - Family Practice 6305001900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
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

LicenseStateTypeSpecialty
12819CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Apr 6, 2016 Accepting new patients
The Metrohealth System Family Medicine CurrentSince Apr 6, 2016 Accepting new patients
4M Emergency Systems Tod LLC CurrentSince Jul 15, 2012 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

  • Direct secure messaging: tsheridan803456@direct.ketteringhealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.