Stephen Clovis Sheridan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SS070635 Issued in MI

Practice address

105 Arbor LN
Alpena, MI 49707-1301

Phone

(989) 356-3485

Fax

(989) 356-6396

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Wayne State University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Clinic PLLCGroup PAC ID 1557347267, 3 clinicians

Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Home Care Northern Michigan Home health agency, Alpena, MI, CCN 237235
• Residential Home Health and Hospice Home health agency, Saginaw, MI, CCN 239152
• Hospice of Northeastern Michigan Hospice, Gaylord, MI, CCN 231536
• Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Merit-based Incentive Payment System (MIPS)

Final score

58.93 of 100Reported as group

Quality

91.75

Improvement activities

0

Cost

74.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Grand Traverse Physician Services PC

  • Hospitalist Physician
  • Traverse City, MI
  • NPI 1932913217

  Family Medicine, MI

  Medicare reassignment Care Compare group NPD
• Internal Medicine Clinic PLLC

  • Pulmonary Disease Physician
  • Alpena, MI
  • NPI 1124011127

  MI

  Medicare reassignment Care Compare group
• Hospitalist Medicine Physicians of Michigan, PLLC

  • Internal Medicine Physician
  • Adrian, MI
  • NPI 1013180181

  MI

  Medicare reassignment NPD
• Sound Inpatient Physicians-Michigan, PLLC

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1093967861

  Family Medicine, MI

  Medicare reassignment NPD
• Wexford Physician Services PC

  • Hospitalist Physician
  • Cadillac, MI
  • NPI 1649084260

  MI

  Medicare reassignment
• Hospitalist Medicine Physicians of Michigan PLLC

  • Internal Medicine Physician
  • Adrian, MI
  • NPI 1033370283
  NPD
• Sound Inpatient Physicians - Michigan, PLLC

  • Hospitalist Physician
  • Escanaba, MI
  • NPI 1366768178

  Family Medicine

  NPD
• Sound Inpatient Physicians-Michigan PLLC

  • Internal Medicine Physician
  • Grayling, MI
  • NPI 1639311996
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospice of Michigan, Inc.

  • Community Based Hospice Care Agency
  • Gaylord, MI
  • NPI 1962446237

  Hospice

  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Sault Sainte Marie, MI
  • NPI 1619791431

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Alpena, MI
  • NPI 1619914652

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Home Health Agency
  • Alpena, MI
  • NPI 1922048065
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1942302302

  Hospital

  Care Compare affiliation
• Residential Home Health and Hospice, Inc.

  • Home Health Agency
  • Saginaw, MI
  • NPI 1083341168
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1821020009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071301",
            "telephone_number": "989-356-3485",
            "fax_number": "989-356-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071301",
            "telephone_number": "989-356-3485",
            "fax_number": "989-356-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "STEPHEN",
        "middle_name": "CLOVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SS070635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00281659",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382072742",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4785908",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SS070635",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Shaw, LLMSW
• Kelsi Shea, RN
• Hassan Sam Sheikho, MD
• Nicole Katherine Shepherd, CHW
• Meredith Haar Sheridan, D.D.S.
• Tara Lee Sherman, MPT
• Karen Joy Sherwood, PHYSICAL THERAPIST
• Kasandra Lynn Showalter, LMSW
• Amber Simonye, PA-C
• Skiba Vision Center, PLLC

• Family Medicine Physician in Alpena, MI
• Providers in Alpena, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.