Active NPI
Sheridan Scott Evans M.D.P.a.
- Primary Care Clinic/Center
- McKinney, TX
National Provider Identifier
1295914737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- K9777
- Legal business name
- SHERIDAN SCOTT EVANS M.D.P.A.
- Practice address
- 5605 Virginia Pkwy
Suite 4
McKinney, TX 75071-5533 - Phone
- (972) 548-5050
- Fax
- (972) 548-6901
- NPI assigned
- Nov 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheridan Scott Evans, M.D.P.A.
- Title
- Medical Doctor
- Phone
- (972) 548-5050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | K9777 | TX | Primary |
Addresses
Primary practice location
5605 Virginia Pkwy
Suite 4
McKinney, TX 75071-5533
Mailing address
5605 Virginia Pkwy
Suite 4
McKinney, TX 75071-5533
Phone (972) 548-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A2511 | Other | TX | MEDICARE INDIVIDUAL PIN |
| 00581U | Other | TX | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5605 Virginia Pkwy
Ste 4
McKinney, TX 75071
Phone (912) 548-5050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- McKinney, TX
- NPI 1164439469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1295914737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 VIRGINIA PKWY",
"address_2": "SUITE 4",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750715533",
"telephone_number": "972-548-5050",
"fax_number": "972-548-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 VIRGINIA PKWY",
"address_2": "SUITE 4",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750715533",
"telephone_number": "972-548-5050",
"fax_number": "972-548-6901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN SCOTT EVANS M.D.P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "SHERIDAN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "972-548-5050",
"authorized_official_credential": "M.D.P.A."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "K9777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PIN",
"identifier": "8A2511",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "00581U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.