Sheridan Emergency Physician Services of Indiana, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SHERIDAN EMERGENCY PHYSICIAN SERVICES OF INDIANA, PC

Practice address

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403-8000

Phone

(812) 825-0802

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Gilbert Drozdow, MD

Title

President

Phone

(954) 838-2371

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Jeffrey Slepin, M.D.

  • Emergency Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1417063439
  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1295105641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453668",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333453668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 S MONROE MEDICAL PARK BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038000",
            "telephone_number": "812-825-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN EMERGENCY PHYSICIAN SERVICES OF INDIANA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "DROZDOW",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-838-2371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohan Shenoy, M.D.
• Shruti Shenoy
• Bryan Shepard, LCSW
• Catherine Shepherd, MS, RD, CD
• Sage Sherfick, RBT
• Roberta Sherman, PH.D.
• Erin L Sherrill
• Rongrong Shi, MT-BC
• Mary Susan Shick, MSN, ANP
• Gal Shifron, LCSW

• Emergency Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.