NPIMap

Organization Active NPI

Sheridan Childrens Healthcare Services of Arizona, Inc.

  • Neonatal-Perinatal Medicine Physician
  • San Tan Valley, AZ
National Provider Identifier
1316340714
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC.
Practice address
37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone
(480) 394-4000
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Robert Coward
Title
President
Phone
(954) 838-2371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080N0001X Primary

Addresses

Primary practice location

37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303

Mailing address

PO Box 452246
Sunrise, FL 33345-2246

National Provider Directory

National Provider Directory
Tax ID family
Sheridan Childrens Healthcare Services of Arizona Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1316340714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452246",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333452246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 N GANTZEL RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407303",
            "telephone_number": "480-394-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.