South Sheridan Medical Center, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOUTH SHERIDAN MEDICAL CENTER, INC

Practice address

1842 Sugarland Drive
Suite 103
Sheridan, WY 82801-5719

Phone

(307) 673-4960

Fax

(307) 673-4951

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

John Wayne Finley, M.D.

Title

C.E.O.

Phone

(307) 673-4960

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1568418192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 SUGARLAND DRIVE",
            "address_2": "SUITE 103",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015719",
            "telephone_number": "307-673-4960",
            "fax_number": "307-673-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SUGARLAND DRIVE",
            "address_2": "SUITE 103",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015719",
            "telephone_number": "307-673-4960",
            "fax_number": "307-673-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHERIDAN MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "307-673-4960",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120483100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Corissa Sue Spackman, CNS, LDN, NBC-HWC
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• Blake Spiegelberg, MWS, PCSW
• Earleen L. Spitsnogle, PHARMD

• Primary Care Clinic/Center in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Primary Care Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.