SYDNEY GLEN SHORT (NPI# 1053411165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053411165 |
Entity Type | Individual |
Full Name | SYDNEY GLEN SHORT |
Credential | MD |
Practice Address |
568 Ruin Creek Rd Ste 128 Henderson NC 27536-5921 |
Practice Telephone | 2524361085 |
Mailing Telephone | 2524361085 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2019-01-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
28344 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 1053411165 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285290080 | Sydney Short | Speech-Language Pathologist | 2150 Lexington Rd, Richmond, KY 40475-7924 | 2019-05-16 |
Street Address |
568 RUIN CREEK RD STE 128 |
City | HENDERSON |
State | NC |
Zip Code | 27536-5921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
Find all providers in zip 27536 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164909396 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 2839 St. Rose Pkwy., Ste. 160, Henderson, NV 89052-4849 | 2018-07-20 |
1255823571 | Ram K Singh Md Ltd | Internal Medicine | 10410 S Eastern Ave Ste 210, Henderson, NV 89052-4195 | 2018-06-01 |
1710329776 | Jovil Kannampuzha | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2013-07-19 |
1285837997 | Alfonso Li Tiu | Internal Medicine | 3032 Palatine Terrace Dr, Henderson, NV 89052-3000 | 2007-06-08 |
1518056464 | Anjum Ismail | Internal Medicine | 2641 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89052-4830 | 2006-10-11 |
1366540973 | Sanjay Vohra | Internal Medicine | 8965 S Pecos Rd, Suite 12a, Henderson, NV 89074 | 2006-09-20 |
1205864865 | Joshua G Leichman | Internal Medicine | 2865 Siena Heights Dr Ste 331, Henderson, NV 89052-4171 | 2006-06-30 |
1205882339 | Chandrasekhar R. Narala | Internal Medicine | 2847 St Rose Pkwy, Ste 100, Henderson, NV 89052 | 2006-05-26 |
1699726240 | Sunil Kalla | Internal Medicine | 2779 W Horizon Ridge Pkwy, Suite #240, Henderson, NV 89052-4184 | 2006-05-16 |
1417908161 | Sunil Kalla, M.d., Inc. PC | Internal Medicine | 3031 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89052-3808 | 2006-05-15 |
Find all providers in HENDERSON |
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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.