Active NPI
Sheridan Wear Culvahouse, M.D.
- Specialist
- Greenwich, CT
National Provider Identifier
1336114222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 027129
- Practice address
- 159 W Putnam Ave
Greenwich, CT 06830-5329 - Phone
- (203) 869-7080
- Fax
- (203) 869-7034
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 027129 | CT | Primary |
| Specialist | 174400000X | 208181-1 | NY |
Addresses
Primary practice location
159 W Putnam Ave
Greenwich, CT 06830-5329
Mailing address
23 Maher Ave
Greenwich, CT 06830-5616
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2219404 | Other | CT | OXFORD |
| CU7245 | Other | CT | HEALTHNET |
| 010027129CT01 | Other | CT | ANTHEM BCBS OF CT |
| 027129 | Other | CT | CONNECTICARE |
| 566356 | Other | CT | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027129 | CT | MD | Specialist |
| 208181-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336114222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 MAHER AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068305616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W PUTNAM AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068305329",
"telephone_number": "203-869-7080",
"fax_number": "203-869-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULVAHOUSE",
"first_name": "SHERIDAN",
"middle_name": "WEAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "027129",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "208181-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2219404",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "CU7245",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT",
"identifier": "010027129CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "027129",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "566356",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.