NPIMap

Organization Active NPI

Sheridan Radiology, LLC

  • Radiology Clinic/Center
  • Sheridan, WY
National Provider Identifier
1528196136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
07199 Issued in WY
Legal business name
SHERIDAN RADIOLOGY, LLC
Practice address
1333 W 5TH St Ste 100
Sheridan, WY 82801-2751
Phone
(307) 672-1000
Fax
(307) 672-1174
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael McCafferty
Title
Ceo
Phone
(307) 672-1044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 07199 WY Primary

Addresses

Primary practice location

1333 W 5TH St Ste 100
Sheridan, WY 82801-2751

Mailing address

1333 W 5TH St Ste 100
Sheridan, WY 82801-2751
Phone (307) 672-1000

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1333 W 5th St
Ste 100
Sheridan, WY 82801
Phone (307) 672-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528196136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 100",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012751",
            "telephone_number": "307-672-1000",
            "fax_number": "307-672-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 100",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012751",
            "telephone_number": "307-672-1000",
            "fax_number": "307-672-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCAFFERTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-672-1044"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WY",
            "license": "07199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.