KEVIN J SHERIDAN


Address: 200 University Ave E, Saint Paul, MN 55101-2507
Phone: 6513252121

KEVIN J SHERIDAN (NPI# 1326134214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326134214
Entity Type Individual
Full Name KEVIN J SHERIDAN
Credential MD
Practice Address 200 University Ave E
Saint Paul
MN 55101-2507
Practice Telephone 6513252121
Mailing Telephone 6513252121
Enumeration Date 2006-10-05
Last Update Date 2008-02-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
34275 MN Allopathic & Osteopathic Physicians

Other Providers KEVIN SHERIDAN

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1407014426 Kevin M Sheridan Surgery 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2008-05-27
1861558223 Kevin Michael Sheridan Dentist 29 Black Coal Dr, Fort Washakie, WY 82514-0128 2006-12-29

Office Location

Street Address 200 UNIVERSITY AVE E
City SAINT PAUL
State MN
Zip Code 55101-2507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336138882 Tara Vonne Brodersen Dentist 200 University Ave E, Saint Paul, MN 55101-2507 2005-10-18
1184236739 Anna Rauch Nurse Practitioner 200 University Ave E, Saint Paul, MN 55101-2507 2020-08-17
1891319943 Gillette Children's Specialty Healthcare Non-Pharmacy Dispensing Site 200 University Ave E, Saint Paul, MN 55101-2507 2020-06-04
1144843343 Smitha Elizabeth Mathew Orthopaedic Surgery 200 University Ave E, Saint Paul, MN 55101-2507 2020-05-21
1750927554 Carol Skerbitz Dietitian, Registered 200 University Ave E, Saint Paul, MN 55101-2507 2019-11-27
1780220798 Karri Larson Dietitian, Registered 200 University Ave E, Saint Paul, MN 55101-2507 2019-11-25
1316583560 Julia Lang Dietitian, Registered 200 University Ave E, Saint Paul, MN 55101-2507 2019-11-22
1033755285 Stephanie K Campbell Dietitian, Registered 200 University Ave E, Saint Paul, MN 55101-2507 2019-11-22
1629614912 Ashley Ann Clintsman Dietitian, Registered 200 University Ave E, Saint Paul, MN 55101-2507 2019-11-21
1770057135 Katherine Marie Nelson Nurse Practitioner 200 University Ave E, Saint Paul, MN 55101-2507 2019-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508480427 El Solutions LLC Clinic/Center 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 2020-06-05
1689211443 Siripa Min Nurse Anesthetist, Certified Registered 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 2019-11-28
1922590488 Diane Mcleod Physician Assistant Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 2018-05-31
1699284919 Eric Mcgillis Emergency Medicine Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 2017-09-29
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1992182323 Theresa Annette Cashdollar-powell Social Worker 640 Jackson, St Paul, MN 55101 2015-05-06
1770986101 Margaret Augusta Cutter Physician Assistant 200 Univeristy Ave E, Saint Paul, MN 55101 2014-09-30
1851641419 Lisa Rae Caturia Occupational Therapy Assistant 640 Jackson St, 8th Floor, St Paul, MN 55101 2012-09-11
1558619478 Rph On The Go Community/Behavioral Health 172 E 6th Street, 704, Saint Paul, MN 55101 2012-08-27
1184994212 Duyen Truong Pharmacist 604 Jackson Street, St. Paul, MN 55101 2012-01-05
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174865570 Sarang Patel Internal Medicine 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 2013-03-23
1326027954 Brian Alan Swiglo Internal Medicine 255 Smith Ave N, Suite 100 United Medical Specialties St Paul, Saint Paul, MN 55102-2572 2006-01-12
1568844587 Jutarat Sangtian Internal Medicine 401 Phalen Blvd, Saint Paul, MN 55130-5302 2015-06-25
1972557908 Luke E Benedict Internal Medicine 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 2006-05-22
1578526315 Victor Alan Corbett Internal Medicine 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 2006-04-11
1154382927 James J Wiberg Internal Medicine 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 2006-03-31
1215996954 Munir Abid Internal Medicine 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 2006-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538697818 Mohammed Nmn Ahmed Internal Medicine 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 2017-05-31
1538395496 Jacklyn Mae Ellickson Internal Medicine 401 Phalen Bl Vd, Ms 41103d, St Paul, MN 55130-5302 2009-06-05
1821245960 Columba Alphonsus Gorman Internal Medicine 2607 Merrihills Dr Sw, Rochester, MN 55902-1168 2008-08-20
1861547382 Lawrence D Schuster Internal Medicine 4999 France Ave S Ste 255, Minneapolis, MN 55410-1734 2007-01-24
1497804496 Christopher Mark Schoonover Internal Medicine 255 Smith Avenue No #100, United Medical Specialties, St. Paul, MN 55102 2007-01-09
1235225160 Charles John Billington Internal Medicine Minneapolis Vamc, Metabolic Section (111g), One Veterans Drive, Minneapolis, MN 55417 2006-10-05
1376651786 Nacide Ercan-fang Internal Medicine Mpls Va Medical Center One Veterans Drive, 111g Endocrine/metabolic, Minneapolis, MN 55417 2006-08-26
1891703005 Sindhu M. Devani Internal Medicine 1900 Centracare Dr #2500, Centracare Clinic- Health Plaza Specialties/endocrinolo, St Cloud, MN 56303 2006-08-03
1508806811 Sidney Amos Jones Internal Medicine 111 Hundertmark Rd Ste 115n, Chaska, MN 55318-1584 2006-06-07
1679532022 Thomas William Laedtke Internal Medicine 7701 York Ave S, Suite 180, Edina, MN 55435 2006-03-22
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Competitor

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City SAINT PAUL
Zip Code 55101

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Dataset Information

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.

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