SHERIDAN NEUROLOGY PC (NPI# 1528113180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528113180 |
| Entity Type | Organization |
| Organization Name | SHERIDAN NEUROLOGY PC |
| Practice Address |
1050 Mydland Rd Sheridan WY 82801-2186 |
| Practice Telephone | 3076736300 |
| Practice Fax Number | 3076736303 |
| Mailing Telephone | 3076736300 |
| Mailing Fax Number | 3076736303 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | JACQUE REENE REED (OFFICE MANAGER) |
| Authorized Official Telephone | 3076736300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
6950A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | FEDERAL WORKERS COMP | 148019300 | 01 |
| WI | WY BLUE SHIELD | 5696001 | 01 |
| WY | 120469600 | 05 | |
| WY | 119441100 | 05 |
| Street Address |
1050 MYDLAND RD |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813930 | Thomas Otto Mayer | Psychiatry & Neurology | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2005-10-06 |
| 1366998437 | Sean Michael Schoonover | Physician Assistant | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2016-08-29 |
| 1275787087 | Geoffrey Sherman | Clinical Neuropsychologist | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2008-11-06 |
| 1124204433 | Cloud Peak Sleep Specialist LLC | Psychiatry & Neurology | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2008-01-16 |
| 1497840318 | Jeremy Paul Zebroski | Orthopaedic Surgery | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2006-10-04 |
| 1083637920 | Anthony B Quinn | Orthopaedic Surgery | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2006-07-25 |
| 1801819750 | John F Ritterbusch | Orthopaedic Surgery | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2006-07-25 |
| 1407879414 | James S Ferries | Orthopaedic Surgery | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2006-07-25 |
| 1699798579 | Christopher T Smith | Orthopaedic Surgery | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2006-07-25 |
| 1053331504 | Steve E Rabon | Podiatrist | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861502312 | American Health Network of Indiana, LLC | Psychiatry & Neurology | 611 E 10th St, Sheridan, IN 46069-9106 | 2006-08-30 |
| 1104813930 | Thomas Otto Mayer | Psychiatry & Neurology | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811264732 | Campbell County Hospital District | Psychiatry & Neurology | 501 S Burma Ave 3n-neuro, Gillette, WY 82716-3426 | 2011-11-21 |
| 1477745842 | Catherine Haynes Wuthrich | Psychiatry & Neurology | 2092 Lilac Lane, Jackson, WY 83002 | 2007-08-09 |
| 1083793863 | Allen L Gee | Psychiatry & Neurology | 1008 13th St, Suite A, Cody, WY 82414-3677 | 2006-11-03 |
| 1407942501 | Western Wyoming Neurology PC | Psychiatry & Neurology | 2751 Commercial Way, Rock Springs, WY 82901-4753 | 2006-10-05 |
| 1013008416 | David B Wheeler | Psychiatry & Neurology | 1020 East 2nd Street, Ste 100, Casper, WY 82601-2955 | 2006-09-28 |
| 1750472403 | Peter Crane | Psychiatry & Neurology | 105 Wyoming St, Lander, WY 82520-3391 | 2006-09-27 |
| 1699701532 | Frank R Wheeler | Psychiatry & Neurology | 427 Lincoln St, Lander, WY 82520-2831 | 2006-06-23 |
| 1316920549 | Reed Clifton Shafer | Psychiatry & Neurology | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2005-11-22 |
| 1134124134 | Celina Frances Tolge | Psychiatry & Neurology | 2301 House Ave, Suite 203, Cheyenne, WY 82001-3176 | 2005-06-16 |
| 1952923971 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
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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.