Active NPI
Sheridan Healthcare of Missouri, Inc.
- Anesthesiology Physician
- Warrensburg, MO
National Provider Identifier
1396171021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SHERIDAN HEALTHCARE OF MISSOURI, INC.
- Practice address
- 403 Burkarth Rd
Warrensburg, MO 64093-3101 - Phone
- (660) 747-2500
- NPI assigned
- Sep 26, 2013
- Last updated
- May 19, 2023
- 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
- Karen Vaughn
- Title
- Officer
- Phone
- (954) 939-5950
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | ||
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
403 Burkarth Rd
Warrensburg, MO 64093-3101
Mailing address
PO Box 744548
Atlanta, GA 30374-4548
Phone (954) 838-2371
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1396171021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744548",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744548",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BURKARTH RD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640933101",
"telephone_number": "660-747-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN HEALTHCARE OF MISSOURI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-26",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "954-939-5950"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.