SHERIDAN FAMILY PRACTICE, P.C. (NPI# 1154420768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154420768 |
| Entity Type | Organization |
| Organization Name | SHERIDAN FAMILY PRACTICE, P.C. |
| Practice Address |
1435 Burton St Sheridan WY 82801-2723 |
| Practice Telephone | 3076720763 |
| Practice Fax Number | 3076720766 |
| Mailing Telephone | 3076720763 |
| Mailing Fax Number | 3076720766 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SUSAN J SNYDER (OWNER) |
| Authorized Official Telephone | 3076720763 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 4286A | WY | Allopathic & Osteopathic Physicians |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
15246.316 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BCBS | 313086 | 01 |
| WY | BCBS | 305501 | 01 |
| WY | 1201867001 | 05 |
| Street Address |
1435 BURTON ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258731 | Jeff H Gardner | Physician Assistant | 1435 Burton St, Sheridan, WY 82801-2723 | 2020-06-01 |
| 1588752869 | Melanie E Goodnight | Nurse Practitioner | 1435 Burton St, Sheridan, WY 82801-2723 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326633 | William A Highsmith Md Pa | Family Medicine | 21 Opportunity Drive, Sheridan, AR 72150-9185 | 2020-01-30 |
| 1508360413 | Access Medical Clinic Arkansas LLC | Family Medicine | 810 S Rock St, Sheridan, AR 72150-7066 | 2018-03-23 |
| 1851562706 | Turner Medical Clinic Inc | Family Medicine | 101 North Rose, Sheridan, AR 72150-2137 | 2008-03-19 |
| 1063624047 | Ronald L. Steury, D. O., P. C. | Family Medicine | 303 Congress St., Sheridan, MI 48884 | 2007-05-04 |
| 1851490874 | Michele L Bennett | Family Medicine | 248 W Works St, Sheridan, WY 82801-4213 | 2006-09-22 |
| 1679679393 | James Patrick Molloy IIi | Family Medicine | 950 Se Sheridan Rd, Sheridan, OR 97378-1913 | 2006-09-16 |
| 1467419036 | Kimberly Gartman | Family Medicine | 13911 Highway 270, Sheridan, AR 72150-9428 | 2006-04-27 |
| 1033173604 | Willamette Valley Clinics LLC | Family Medicine | 222 Se Jefferson St, Sheridan, OR 97378-1924 | 2006-04-12 |
| 1548239247 | Arkansas Health Group | Family Medicine | 1110 W Vine St, Sheridan, AR 72150-7804 | 2006-03-15 |
| 1497724157 | Clyde Dodson Paulk | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2006-03-15 |
| Find all providers in SHERIDAN | ||||
Please comment or provide details below to improve the information on SHERIDAN FAMILY PRACTICE, P.C..
| 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.