SHERIDAN PULMONARY GROUP LLC (NPI# 1063742013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063742013 |
| Entity Type | Organization |
| Organization Name | SHERIDAN PULMONARY GROUP LLC |
| Practice Address |
6830 Hospital Dr Suite 102 Baltimore MD 21237-4373 |
| Practice Telephone | 4106876622 |
| Practice Fax Number | 4106877039 |
| Mailing Telephone | 4106876622 |
| Mailing Fax Number | 4106877039 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | DR. MARTIN JEROME SHERIDAN (PRESIDENT) |
| Authorized Official Telephone | 4106876622 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
D21846 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 256331200 | 05 |
| Street Address |
6830 HOSPITAL DR SUITE 102 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711846 | Khalid Khalil Al-talib | Internal Medicine | 6830 Hospital Dr, Suite 204, Baltimore, MD 21237-4373 | 2005-09-27 |
| 1902220080 | Bushra I. Al-azzawi, M.d., LLC | Internal Medicine | 6830 Hospital Dr, Suite 204, Baltimore, MD 21237-4373 | 2014-02-10 |
| 1396183315 | Edwin F. Aguilar, M.d., P.C. | Durable Medical Equipment & Medical Supplies | 6830 Hospital Dr, Suite 206, Baltimore, MD 21237-4373 | 2013-06-12 |
| 1851642425 | Inna Tinsley | Nurse Practitioner | 6830 Hospital Dr, Suite 106a, Baltimore, MD 21237-4373 | 2012-09-24 |
| 1871889733 | Mian Family Medicine, LLC | Family Medicine | 6830 Hospital Dr, Suite #104, Baltimore, MD 21237-4373 | 2011-06-20 |
| 1124313499 | Edwin F. Aguilar, M.d., P.C. | Pediatrics | 6830 Hospital Dr, Suite 206, Baltimore, MD 21237-4373 | 2011-06-15 |
| 1134447667 | Dipti Tulsidas Patel | Internal Medicine | 6830 Hospital Dr, Suite 204, Baltimore, MD 21237-4373 | 2010-05-07 |
| 1225368517 | Bo Zaw-win, M.d.,p.a. | Internal Medicine | 6830 Hospital Dr, Suite 104, Baltimore, MD 21237-4375 | 2010-01-08 |
| 1528200201 | Irfan Shukrullah | Internal Medicine | 6830 Hospital Dr, Suite 204, Baltimore, MD 21237-4373 | 2009-03-27 |
| 1063664217 | Kiumarce Kashi Md PC | Clinic/Center | 6830 Hospital Dr, Suite 106, Baltimore, MD 21237-4373 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1669670618 | John C Huetsch | Internal Medicine | 5501 Hopkins Bayview Cir Fl 4, Baltimore, MD 21224-6821 | 2007-07-10 |
| 1083751846 | Jonathan C Jun | Internal Medicine | 601 N Caroline St Ste 1261, Baltimore, MD 21287-0006 | 2007-01-31 |
| 1689746059 | Martin J Sheridan | Internal Medicine | 6830 Hospital Drive, Suite 102, Baltimore, MD 21237 | 2006-11-14 |
| 1386655074 | Dennis Michael Smith | Internal Medicine | 3407 Wilkens Ave Ste 440, Baltimore, MD 21229-5073 | 2006-08-10 |
| 1609862754 | Carmen Anthony Fratto | Internal Medicine | 407 Westside Blvd, Baltimore, MD 21228-4062 | 2005-09-23 |
| 1487072153 | Andrew Demaio | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2014-03-31 |
| 1992149108 | Abigail Lynn Koch | Internal Medicine | 1830 E Monument St Fl 5, Baltimore, MD 21287-0020 | 2013-04-18 |
| 1083957013 | Ashraf Fawzy | Internal Medicine | 1830 E Monument St, 5th Floor, Baltimore, MD 21287-0020 | 2013-03-27 |
| 1679867873 | Narat Srivali | Internal Medicine | 3407 Wilkens Ave Ste 440, Baltimore, MD 21229 | 2011-06-06 |
| 1306141429 | Julie Ng | Internal Medicine | The Johns Hopkins Hospital, 600 Wolf Street, Baltimore, MD 21287-0005 | 2011-01-20 |
| Find all providers in BALTIMORE | ||||
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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.