DR. MARK THOMAS SHERIDAN (NPI# 1639376387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639376387 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS SHERIDAN |
| Credential | D.C. |
| Practice Address |
5725 Buford Hwy Ne Suite 105 Doraville GA 30340-1230 |
| Practice Telephone | 7704519494 |
| Mailing Telephone | 7704519494 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | GA 3071 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984525 | Mark F Sheridan | Otolaryngology | #3 Stonecrest Dr, Huntington, WV 25701 | 2006-03-02 |
| 1447220249 | Mark V Sheridan | Ophthalmology | Dept. of Ophthalmology, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2006-01-24 |
| Street Address |
5725 BUFORD HWY NE SUITE 105 |
| City | DORAVILLE |
| State | GA |
| Zip Code | 30340-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003300757 | Moensania Carisa Phillips | Nurse Practitioner | 4004 Evans Road, Atlanta, GA 30340 | 2018-06-17 |
| 1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
| 1174043541 | Woohyeon Cho | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 | 2017-06-26 |
| 1326599614 | Tara Vanvranken | Chiropractor | 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 | 2016-10-20 |
| 1073900056 | Presly Ouy | Pharmacist | 3975 English Oak Dr, Atlanta, GA 30340 | 2015-04-17 |
| 1336389063 | Jose R Muniz | Licensed Practical Nurse | 3061 Oakcliff Rd, 149, Doraville, GA 30340 | 2009-02-20 |
| 1316109200 | John David Hamilton | Radiology | 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 | 2008-07-01 |
| 1104003979 | Mariya A. Fishman | Radiology | 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 | 2008-01-23 |
| 1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
| 1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
| Find all providers in zip 30340 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023380060 | Serena Gayles | Chiropractor | 5000 Winters Chapel Rd, Suite 1, Doraville, GA 30360-1746 | 2012-02-07 |
| 1376736702 | Sung Yang Dc, PC | Chiropractor | 5715 Buford Hwy Ne, Suite 204, Doraville, GA 30340-1229 | 2007-08-20 |
| 1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
| 1689898496 | Yao Nan Wu | Chiropractor | 5095 Buford Hwy Ne Ste G, Doraville, GA 30340-1119 | 2007-04-12 |
| 1558467621 | Advanced Rehab and Injury Center | Chiropractor | 5312 Buford Hwy Ne, Doraville, GA 30340-1152 | 2006-09-16 |
| 1467486761 | Kyung Oh | Chiropractor | 5441 Buford Hwy # 202, Doraville, GA 30340 | 2006-07-10 |
| 1376514638 | Matthew Michael Diduro | Chiropractor | 4535 Winters Chapel Rd, Suite B, Doraville, GA 30360-2705 | 2006-01-26 |
| 1134694045 | Darnell Howard Jr. | Chiropractor | 4535 Winters Chapel Rd, Doraville, GA 30360-2705 | 2018-10-06 |
| 1700035037 | Healthchoice Clinic of Johns Creek.l.l.c. | Chiropractor | 4535 Winters Chapel Rd, Suite B, Doraville, GA 30360-2705 | 2008-09-10 |
| 1972725943 | Siavash Parvardegari | Chiropractor | 3042 Oakcliff Rd, Suite 210, Doraville, GA 30340 | 2007-05-02 |
| Find all providers in DORAVILLE | ||||
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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.