Sheridan Emergency Physician Services Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SHERIDAN EMERGENCY PHYSICIAN SERVICES INC

Practice address

160 NW 170TH St
North Miami Beach, FL 33169-5521

Phone

(305) 654-5234

NPI assigned

Nov 29, 2005

Last updated

Aug 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Kondas

Title

Officer

Phone

(954) 838-2371

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1174194500

  O20040109000169

  Same enrollment
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Bushnell, FL
  • NPI 1326619727

  O20040109000169

  Same enrollment
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Jupiter, FL
  • NPI 1598748030

  O20040109000169

  Same enrollment
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Wildwood, FL
  • NPI 1760053193

  O20040109000169

  Same enrollment
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1861166175

  O20040109000169

  Same enrollment
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Summerfield, FL
  • NPI 1982275327

  O20040109000169

  Same enrollment
• Sheridan Emergency Physician Services, Inc

  • Emergency Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1265783849

  O20040109000169

  Same enrollment
• Sheridan Emergency Physician Services, Inc

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1528206992

  O20040109000169

  Same enrollment

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1306829858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848508",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330840508",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521",
            "telephone_number": "305-654-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN EMERGENCY PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272253400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "45846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shan Group LLC (Accessible Home Health Care of Aventura)
• Sarita Sharma, DO
• Marguerite M Sharvit, RDN, LDN
• Leon Maynard Shechtman, OD
• Shefa Health & Psychiatry Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp, Inc.
• Sheridan Radiology Services of Central Florida, Inc.
• Sheridan Radiology Services of Kentucky, Inc
• Sheridan Radiology Services of Pinellas, Inc.

• Emergency Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Emergency Medicine Physician in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.