SHERIDAN CHILDRENS HEALTHCARE SERVICES INC (NPI# 1619951969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619951969 |
| Entity Type | Organization |
| Organization Name | SHERIDAN CHILDRENS HEALTHCARE SERVICES INC |
| Practice Address |
1613 N Harrison Pkwy #200 Sunrise FL 33323 |
| Mailing Address |
Po Box 17540 Plantation FL 33318-7540 |
| Practice Telephone | 9548382371 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | ROBERT COWARD (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 055734001 | 05 | |
| FL | 055734003 | 05 | |
| FL | BC/BS | 98791 | 01 |
| FL | 05573400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164628624 | Sheridan Childrens Healthcare Services Inc | Pediatrics | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2007-06-22 |
| Street Address |
1613 N HARRISON PKWY #200 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943341 | Joanna Marie Blondeau | Registered Nurse | 1613 N Harrison Pkwy, Ste 200, Sunrise, FL 33323 | 2005-09-26 |
| 1639186018 | Alida Rois-mendez | Nurse Anesthetist, Certified Registered | 1613 N Harrison Pkwy, Suite 200, Sunrise, FL 33323 | 2006-08-01 |
| 1093780785 | Melissa D. Machan | Nurse Anesthetist, Certified Registered | 1613 N Harrison Pkwy, Suite 200, Sunrise, FL 33323 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| 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 |
|---|---|---|---|---|
| 1376727404 | Megan Schmidt | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2007-12-26 |
| 1083806509 | Doron J Kahn | Pediatrics | 1613 Harrison Pkwy, Ste 200, Sunrise, FL 33323-2853 | 2007-08-17 |
| 1558468256 | Pediatrix Medical Group of North Carolina PC | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1376640078 | Pediatrix Medical Group Neonatology and Pediatric Intensive Care Speci | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1720185432 | Pediatrix Medical Group of Michigan PC | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1548367253 | Magella Medical Associates Midwest PC | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1992802607 | Pediatrix Medical Group of South Carolina Pa | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1356448062 | Magella Medical Associates of Georgia PC | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1194731752 | Alan Richard Spitzer | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-08-01 |
| 1689617094 | Reese Hunter Clark | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-06-14 |
| Find all providers in SUNRISE | ||||
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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.