SYDNEY GLEN SHORT


Address: 568 Ruin Creek Rd Ste 128, Henderson, NC 27536-5921
Phone: 2524361085

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
28344 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 1053411165 05

Other Providers SYDNEY SHORT

NPI Name Taxonomy Address Enumeration
1285290080 Sydney Short Speech-Language Pathologist 2150 Lexington Rd, Richmond, KY 40475-7924 2019-05-16

Office Location

Street Address 568 RUIN CREEK RD STE 128
City HENDERSON
State NC
Zip Code 27536-5921

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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City HENDERSON
Zip Code 27536

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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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