Sheridan Healthcorp Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SHERIDAN HEALTHCORP INC

Practice address

21 Hospital Dr Ste 220
Palm Coast, FL 32164-2453

Phone

(877) 328-1119

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Kondas

Title

Officer

Phone

(877) 328-1119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Jose Egas, MD

  • Anesthesiology Physician
  • Gainesville, FL
  • NPI 1063675478
  NPD
• Kelly Britt Lau

  • Certified Registered Nurse Anesthetist
  • Ocala, FL
  • NPI 1841076460
  NPD
• Melissa Anne Burger, MD

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1538398599
  NPD
• Rachael Marie Drayton, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Stewart, GA
  • NPI 1962733485
  NPD
• Paul McCarthy, MD

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1689787343
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1942974365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CENTERVIEW DR STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOSPITAL DR STE 220",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642453",
            "telephone_number": "877-328-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN HEALTHCORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "877-328-1119"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn D Doerrfeld DC PL (Doerrfeld Chiropractic Injury & Wellness Clinic)
• Janet Marie James Shelton, LMT, MLD-C
• April Sheltz, OTR
• Joseph Shepherd
• Sheridan Healthcorp Inc
• Sheriffa Gallwey
• Sheriffa Gallwey, LCSW, PLLC
• Sheriffa Gallwey, LCSW, PLLC
• Donela Shillingford
• Ship Shape Water Fitness Specialists, LLC

• Anesthesiology Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.