Michael M Sheridan, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

165622 Issued in NY

Practice address

4988 State Highway 30
Amsterdam Memorial Health Center
Amsterdam, NY 12010-7520

Phone

(518) 843-5793

Fax

(518) 843-6513

NPI assigned

Sep 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 5

Medicare fee-for-service enrollment

Enrolled in NY

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 PracticeAlso: Geriatric Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Ballston Lake, NY, CCN 337401
• St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
• Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• St Marys Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1518926401
  Medicare reassignment Care Compare group NPD
• St. Mary'S Healthcare

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Amsterdam, NY
  • NPI 1700636347
  NPD
• St. Mary'S Healthcare

  • Psychiatric Hospital Unit
  • Amsterdam, NY
  • NPI 1164497103
  NPD (past)

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

• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Pharmacy
  • Gloversville, NY
  • NPI 1285706655

  Hospital

  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Rural Acute Care Hospital
  • Gloversville, NY
  • NPI 1336145168
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Clinic/Center
  • Gloversville, NY
  • NPI 1770671448

  Hospital

  Care Compare affiliation
• QC-Medi New York, Inc.

  • Home Health Agency
  • Ballston Lake, NY
  • NPI 1023049830
  Care Compare affiliation
• St. Mary'S Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1902909476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 STATE HIGHWAY 30",
            "address_2": "AMSTERDAM MEMORIAL HEALTH CENTER",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107520",
            "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": "4988 STATE HIGHWAY 30",
            "address_2": "AMSTERDAM MEMORIAL HEALTH CENTER",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107520",
            "telephone_number": "518-843-5793",
            "fax_number": "518-843-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "165622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUP",
            "identifier": "08230",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01170667",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSNENY",
            "identifier": "000401398001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10001883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "547811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Selby, F.N.P.
• Andrea Sericolo, RPH
• Helen Seward, M.S. CCC SLP
• Nicole K Shea-Scanlan, SLP
• Suzanne Shepard, PT, DPT, PCS
• Megan Sherman, PTA
• Clara Shnaidman, M.D.
• Kelly Siahpoosha
• Steven D. Siegard, LCSW-R
• Lauren Silveira, MS OTR/L

• 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 Jun 8, 2016; 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.