MR. MICHAEL THOMAS SHERIDAN (NPI# 1124564349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124564349 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL THOMAS SHERIDAN |
| Credential | ATC |
| Practice Address |
641 East Campus Drive Stanford CA 94305-6201 |
| Mailing Address |
642 San Patricio Ave Sunnyvale CA 94085-3413 |
| Practice Telephone | 6507231214 |
| Mailing Telephone | 4133865112 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750548095 | Michael Cales Sheridan | Psychologist | Hc 37, Box 122bc, Frankford, WV 24938 | 2008-05-22 |
| 1891981239 | Michael Edward Sheridan | Dietitian, Registered | 208 E Providence Ct, Galloway, NJ 08205-4029 | 2007-09-19 |
| 1396960621 | Michael Sheridan | Occupational Therapist | 199 Frontier Trl, Pocahontas, AR 72455-1379 | 2007-04-13 |
| 1174519466 | Michael Jay Scott Sheridan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1116 N 16th St Ste A, Lafayette, IN 47904 | 2005-09-22 |
| 1093264467 | Michael Sheridan | Social Worker | 901 W Mem Dr, Houghton, MI 49931-2475 | 2016-09-27 |
| 1609991421 | Michael F Sheridan | Radiology | Berkshire Medical Center, 725 North Street, Pittsfield, MA 01201 | 2007-03-20 |
| 1902909476 | Michael M Sheridan | Family Medicine | 4988 State Highway 30, Amsterdam Memorial Health Center, Amsterdam, NY 12010-7520 | 2006-09-07 |
| 1891715884 | Michael James Sheridan | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-20 |
| Street Address |
641 EAST CAMPUS DRIVE |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723135 | Courtney Morgan Meyer | Specialist/Technologist | 641 East Campus Drive, Stanford, CA 94305-6150 | 2019-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396855813 | Juanita Denae Holley | Specialist/Technologist | 641 Campus Dr, Stanford, CA 94305-6201 | 2006-08-30 |
| 1932121589 | Sarah M Lyons | Specialist/Technologist | 641 Campus Drive Easat, Stanford, CA 94305 | 2006-07-24 |
| 1538723135 | Courtney Morgan Meyer | Specialist/Technologist | 641 East Campus Drive, Stanford, CA 94305-6150 | 2019-04-29 |
| 1376026435 | Hannah Clark | Specialist/Technologist | 641 Campus Dr, Stanford, CA 94305-6201 | 2018-09-13 |
| 1669829438 | Katelin Anne Knox | Specialist/Technologist | 641 Campus Dr, Stanford, CA 94305-6201 | 2016-05-20 |
| 1205291127 | Dominic Vincentini | Specialist/Technologist | 641 Campus Dr, Stanford, CA 94305-6201 | 2015-12-18 |
| 1497145783 | Kelly Christine Estrella | Specialist/Technologist | 641 Campus Dr, Stanford, CA 94305-6201 | 2015-01-26 |
| 1336551290 | Katherine Susskind | Specialist/Technologist | 641 Campus Dr, Stanford, CA 94305-6201 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417981 | David Yudis | Specialist/Technologist | 82 Victoria Ste 201, Newport Beach, CA 92660-9009 | 2020-11-05 |
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1639779630 | Taylor Anderson | Specialist/Technologist | 3320 Honolulu Ave Apt 11, La Crescenta, CA 91214-3389 | 2020-10-28 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1063011278 | Hilary Ann King | Specialist/Technologist | 824 W Maple Ave, Tulare, CA 93274-2609 | 2020-10-19 |
| 1568069854 | Tess Buchanan | Specialist/Technologist | 4480 Leatherwood Ct, Concord, CA 94521-4416 | 2020-10-08 |
| 1407453343 | Peter Wang | Specialist/Technologist | 3034 Belmont Dr, Lodi, CA 95242-9732 | 2020-10-05 |
| 1164029138 | Marisa Angelina Terrazas | Specialist/Technologist | 1416 Rampart Dr, Roseville, CA 95661-4749 | 2020-10-02 |
| 1427665645 | Alvaro Juarez Jr. | Specialist/Technologist | 31550 Palomar Rd, Menifee, CA 92584-9258 | 2020-09-30 |
| 1407462237 | Lorenzo Aguirre | Specialist/Technologist | 1836 Lapham Dr, Modesto, CA 95354-3900 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. MICHAEL THOMAS SHERIDAN.
| 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.