Sheridan Anesthesia Associates LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SHERIDAN ANESTHESIA ASSOCIATES LLC

Practice address

1401 W 5TH St
Sheridan Memorial Hospital
Sheridan, WY 82801-2705

Phone

(307) 672-1000

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David M Schultz, MD

Title

Authorized Official

Phone

(307) 674-5123

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1285732883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828010767",
            "telephone_number": "307-674-5123",
            "fax_number": "307-674-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "address_2": "SHERIDAN MEMORIAL HOSPITAL",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "307-674-5123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123392100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06006001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Shassetz, PHARM.D
• Colleen R. Shaw, M.D.
• Forrest Crane Shaw
• Christine E Shepherd, CMT, NCBTMB, LPC
• Brian D Sheremeta, LMFT
• Sheridan Counseling Practice, LLC
• Sheridan Eye Care Center Inc
• Sheridan Family Practice, P.C.
• Sheridan Health Center, Inc
• Sheridan Internal Medicine

• Anesthesiology Physician in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Anesthesiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.