Kathleen M Sheridan, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD428219 Issued in PA

Practice address

1575 Highlands Dr Ste 101
Lititz, PA 17543-7507

Phone

(717) 393-1338

Fax

(717) 627-1817

NPI assigned

Jan 24, 2006

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kathleen Sheridan Bellis Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleensheridan@bfs.medalliesdirect.net
• Direct secure messaging: ksheridan170314@direct-guthrie.org
• Direct secure messaging: ksheridan303096@upmc.direct-ci.com

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Pinnacle Health Regional Physicians

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1013441690

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Geisinger Cancer Center of Lewisburg

  • Medical Oncology Physician
  • Lewisburg, PA
  • NPI 1295137388
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• OB-GYN of Lancaster Inc

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1699734210
  NPD (past)
• Upmc Lititz

  • General Acute Care Hospital
  • Lititz, PA
  • NPI 1285167916
  NPD (past)
• Berkshire Medical Center Inc.

  dba Berkshire Community Pharmacy of North Adams

  • Community/Retail Pharmacy
  • North Adams, MA
  • NPI 1932649753
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1720058712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR STE 101",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-393-1338",
            "fax_number": "717-627-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR STE 101",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-393-1338",
            "fax_number": "717-627-1817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110027",
            "country_code": "US",
            "telephone_number": "570-808-7916",
            "fax_number": "570-808-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD19898",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "270045",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD428219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksheridan64546@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1575 Highlands Dr Ste 101",
            "city": "Lititz",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175437507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BELLIS",
            "middle_name": "SHERIDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shanley and Ong Pediatric Dentistry (Sunshine Pediatric Dentistry)
• Archana Sharma, APRN
• M Dale Sharpsteen, LMFT MED
• Christopher Jarred Sheaffer, PHARM.D
• Jana Leigh Sheaffer, LMT
• Jennifer Marie Sherwood, PA-C
• Ashlee Showalter
• Sarah Sidor, DO
• Caitlin Sara Sigle, PTA
• Lisa Simmons

• Obstetrics & Gynecology Physician in Lititz, PA
• Providers in Lititz, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.