Organization Active NPI

Sheridan Children's Healthcare Services of Arkansas, P.a.

  • Neonatal-Perinatal Medicine Physician
  • Johnson, AR
National Provider Identifier
1457718132
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF ARKANSAS, P.A.
Practice address
4301 Greathouse Springs Road
Johnson, AR 72741
Phone
(479) 684-3000
NPI assigned
Jan 26, 2016
Last updated
Mar 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Gilbert L. Drozdow, M.D.
Title
President
Phone
(954) 838-2371

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU
Neonatal-Perinatal Medicine Physician 2080N0001X NU Primary
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

4301 Greathouse Springs Road
Johnson, AR 72741

Mailing address

PO Box 450430
Sunrise, FL 33345-0430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1457718132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450430",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333450430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GREATHOUSE SPRINGS ROAD",
            "city": "JOHNSON",
            "state": "AR",
            "postal_code": "72741",
            "telephone_number": "479-684-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF ARKANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "DROZDOW",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-838-2371",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.