Valerie L Sheridan, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3977 Issued in AZ

Practice address

3035 S Ellsworth Rd
Suite 104
Mesa, AZ 85212

Phone

(480) 354-7478

Fax

(480) 354-7480

NPI assigned

Nov 8, 2005

Last updated

Feb 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgicare Sheridan Surgical Services

  • Preferred Provider Organization
  • Mesa, AZ
  • NPI 1144275025
  Authorized official Same address or phone
• CKS of Mt Clemens LLC

  dba Healthquest Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Mount Clemens, MI
  • NPI 1619172673
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1679554661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51058",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852080053",
            "telephone_number": "480-354-7478",
            "fax_number": "480-354-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S ELLSWORTH RD",
            "address_2": "SUITE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85212",
            "telephone_number": "480-354-7478",
            "fax_number": "480-354-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "VALERIE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "3977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0743390",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832065",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Shepherd, BCBA
• Robin Berry Shepherd, PMHNP-BC
• Savannah Shepherd, RN
• Sheridan Children's Healthcare Services of Arizona, Inc.
• Sheridan Childrens Healthcare Services of Arizona, Inc.
• Savanah Sheriff
• Leland J Sherlock, O.D.
• Blake Paul Sherman, M.D.
• Heidi Sherman
• Jayme Lyn Sherman, MD

• Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.