Sheridan Healthcare of Connecticut PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SHERIDAN HEALTHCARE OF CONNECTICUT PC

Practice address

320 Pomfret St
Putnam, CT 06260-1836

Phone

(860) 928-6541

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Kathleen Kondas

Title

Officer

Phone

(954) 838-2371

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1376526830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744576",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744576",
            "telephone_number": "954-838-2371",
            "fax_number": "913-242-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-928-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN HEALTHCARE OF CONNECTICUT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004230942",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Louise Sexton Potter, L.M.T.
• Rachel E Seymour
• Angela Shamber, NP
• Virginia Rose Shea, APRN
• Mikayla Sheldon
• Kyleen O Sidwell, DPT
• Shelby Corey Siefert
• Denise L Sikorski, RD
• Nikayla Silva, PA-C
• Ana Louisa Silveira

• Anesthesiology Physician in Putnam, CT
• Providers in Putnam, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.