Edward J Sheridan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35038030S Issued in OH

Practice address

159 E 2ND St
Chillicothe, OH 45601-2526

Phone

(740) 773-6347

Fax

(740) 773-9093

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Southern Ohio Eye Surgical Assoc., LLC

  • Eyewear Supplier
  • Gallipolis, OH
  • NPI 1285807685
  NPD (past)
• Southern Ohio Eye Surgical Associates LLC

  • Ophthalmology Physician
  • Chillicothe, OH
  • NPI 1447286059
  NPD (past)
• Southern Ohio Ophthalmic Anesthesia, LLC

  • Anesthesiology Physician
  • Chillicothe, OH
  • NPI 1760577563
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1710988936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 JACKSON PIKE",
            "address_2": "STE 2",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456312602",
            "telephone_number": "740-446-0112",
            "fax_number": "740-446-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 2ND ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012526",
            "telephone_number": "740-773-6347",
            "fax_number": "740-773-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35038030S",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "11622",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301060933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen D Shaw, MD
• Jessica Breann Sheets
• Sheilah M Gray D.D.S.,Inc.
• Jianbin Shen, MD, PHD
• Lora Shepherd
• Jaime Sherman
• Zachary Ryan Sherman
• Nathan D Shiflett, DO
• Shine Orthodontics
• Shine Orthodontics

• Ophthalmology Physician in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.