Michael M. Sheridan,D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

165622 Issued in NY

Legal business name

MICHAEL M. SHERIDAN,D.O.

Practice address

5010 State Highway 30
Suite 101
Amsterdam, NY 12010-7532

Phone

(518) 843-5793

Fax

(518) 843-6513

NPI assigned

Aug 16, 2007

Organization subpart

Yes

Parent organization

MICHAEL M. SHERIDAN, D.O.As reported in NPPES

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

Authorized official

Name

Mrs. Tina M Blakely

Title

Office Manager

Phone

(518) 843-5793

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Michael M Sheridando

Locations

Practitioners 3

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

• Barbara Loucks, ANP

  • Family Nurse Practitioner
  • Amsterdam, NY
  • NPI 1205944865
  NPD (past)
• Michael Angelo Rochet, MD

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1174631808
  NPD (past)
• Cheryl Sparks, ANP

  • Family Nurse Practitioner
  • Amsterdam, NY
  • NPI 1184727653
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1811189467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "SUITE 101",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-843-5793",
            "fax_number": "518-843-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "SUITE 101",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-843-5793",
            "fax_number": "518-843-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. SHERIDAN,D.O.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL M. SHERIDAN, D.O.",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-843-5793",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "165622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01170667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey A Mendoza, PA-C
• Mental Health Association in Fulton and Montgom
• Carolyn Helen Meyers, MS RD CDN
• Jeanne Elizabeth Meyers, M.S., CCC-SLP
• Michael a. Rochet, M.D.,P.C.
• Bethany Mifsud, LCSW
• Kristine Milham, MHS, OTR/L
• Epifanio Militar, MD
• Duane Miller, LMSW
• Jeanny Marie Miller

• Family Medicine Physician in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.