John Sheridan IV, B.S.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1041 W Bridge St
Phoenixville, PA 19460-4342

Phone

(610) 933-8110

Fax

(610) 933-7451

NPI assigned

Nov 2, 2009

Last updated

Nov 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1265768824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 W BRIDGE ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604342",
            "telephone_number": "610-933-8110",
            "fax_number": "610-933-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 W BRIDGE ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604342",
            "telephone_number": "610-933-8110",
            "fax_number": "610-933-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "JOHN",
        "name_suffix": "IV",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolfgang William Shay, DO
• Jamine Lee Shechter, MD
• Stacey Lynn Sheehan, LCSW
• Manisha Shendge, D.MIN., CT, LMFT
• Quinn Sherer
• William Shibe, MD
• Allison L Shirker, M.D.
• Lauren Shirley, D.O.
• Kristin Shoemaker, LPC
• Steven M Shuchat, M.D.

• Case Manager/Care Coordinator in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.