SHERIDAN CHILDRENS HEALTHCARE SERVICES INC (NPI# 1164628624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164628624 |
| Entity Type | Organization |
| Organization Name | SHERIDAN CHILDRENS HEALTHCARE SERVICES INC |
| Practice Address |
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 |
| Mailing Address |
1613 Nw 136th Ave Building C, Suite #200 Sunrise FL 33323-2853 |
| Practice Telephone | 8508621111 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEWIS GOLD (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363LP1700X |
Nurse Practitioner Specialization: Perinatal |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619951969 | Sheridan Childrens Healthcare Services Inc | Emergency Medicine | 1613 N Harrison Pkwy, #200, Sunrise, FL 33323 | 2005-11-30 |
| Street Address |
1000 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779389 | Hien Dao | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2005-06-09 |
| 1619578663 | Noles Medical Services Inc | Clinic/Center | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-11-05 |
| 1629686878 | Eric Daniel Hinojosa | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-07-14 |
| 1548889215 | Jennifer D Grady | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-04-13 |
| 1578194247 | Laura Pavel Ketelsen | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-01-30 |
| 1508422106 | Jamie Marie Herndon | Registered Nurse | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-05-20 |
| 1801354477 | Victoria Ann Miles-nance | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-03-03 |
| 1447723457 | Jolyn Marie Pelesky | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-01-03 |
| 1346718442 | Hannah Beth Webster | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-11-06 |
| 1104301332 | Nicholas Joseph Dokianos | Internal Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851816136 | Ellen Eisenberg | Pediatrics | 4599 Nw 26th Ave, Boca Raton, FL 33434-2521 | 2017-08-08 |
| 1104367093 | Joyce Peabody | Pediatrics | 1495 Estuary Trl, Delray Beach, FL 33483-5962 | 2017-03-13 |
| 1730518085 | John J Esslinger | Pediatrics | 8427 Southpark Cir, Suite 500, Orlando, FL 32819-9058 | 2013-11-07 |
| 1407148406 | Stephanie Shevon Turner | Pediatrics | 3501 Johnson St., Joe Dimaggio Children's Hospital, Hollywood, FL 33021 | 2011-05-09 |
| 1275823247 | Sarah A. Bajorek | Pediatrics | 83 W Miller St # Mp324, Orlando, FL 32806-2031 | 2011-04-12 |
| 1548561186 | Juan Miguel Fuentes Guerra | Pediatrics | 7800 Sw 21st St, Miami, FL 33155-6510 | 2010-11-13 |
| 1710299581 | Whitney Blake Eldridge | Pediatrics | 4321 N Macdill Ave Ste 304, Tampa, FL 33607-6390 | 2010-07-09 |
| 1972826113 | Kim Stepnen Haskins | Pediatrics | 10609 Indian Trl, Cooper City, FL 33328-5513 | 2010-03-02 |
| 1811178098 | Mohammed Rashed Shareef | Pediatrics | 5333 Sw 75th St Apt W140, Gainesville, FL 32608-7452 | 2007-11-16 |
| 1356535751 | Kanchan Mishra | Pediatrics | 5955 Ponce De Len Blvd, Coral Gables, FL 33146 | 2007-08-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.