Provider Demographics
NPI:1790089555
Name:SHERIDAN HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SHERIDAN HEALTH SERVICES INC
Other - Org Name:SHERIDAN HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MSN, CNM
Authorized Official - Phone:303-724-1563
Mailing Address - Street 1:4107B S. FEDERAL BLVD.
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-4316
Mailing Address - Country:US
Mailing Address - Phone:303-781-1636
Mailing Address - Fax:303-783-9978
Practice Address - Street 1:4107B S. FEDERAL BLVD.
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-4316
Practice Address - Country:US
Practice Address - Phone:303-781-1636
Practice Address - Fax:303-783-9978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty