Pamela J Sheridan, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002275 Issued in OH

Practice address

5750 W Alexis Rd
Sylvania, OH 43560-2349

Phone

(419) 824-0300

Fax

(419) 824-0500

NPI assigned

Oct 6, 2005

Last updated

Nov 15, 2017By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1942296033
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1952398760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W ALEXIS RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602349",
            "telephone_number": "419-824-0300",
            "fax_number": "419-824-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W ALEXIS RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602349",
            "telephone_number": "419-824-0300",
            "fax_number": "419-824-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Mark Shall, D.D.S.
• Shang Y. Rhee, M.D. and Associates, Inc.
• David Shannon
• Joanna F Shaw, CNP
• Emiley F.W. Shenk
• Christopher A Sherman, M.D.
• Brad Sheroian
• Jessica Jean Shimman, PHARM.D., R.PH.
• Martha G Shipe, CNP
• Ali Shukr, PHARMD

• Podiatrist in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.