DR. MICHAEL JAY SCOTT SHERIDAN (NPI# 1174519466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174519466 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAY SCOTT SHERIDAN |
| Credential | M.D. |
| Practice Address |
1116 N 16th St Ste A Lafayette IN 47904 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Practice Fax Number | 7654488807 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 79395 | GA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01069765A | IN | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME 87486 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201023730 | 05 | |
| FL | BCBS OF FL | 78677 | 01 |
| FL | TRICARE | 841624482 | 01 |
| FL | 266749500 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000851467 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124564349 | Michael Thomas Sheridan | Specialist/Technologist | 641 East Campus Drive, Stanford, CA 94305-6201 | 2017-01-11 |
| 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 |
| 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 |
1116 N 16TH ST STE A |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877328 | Rexanna Tatlock | Registered Nurse | 1116 N 16th St Ste A, Lafayette, IN 47904-2119 | 2018-07-17 |
| 1346686235 | Theodore E. Vancott | Registered Nurse | 1116 N 16th St Ste A, Lafayette, IN 47904-2119 | 2013-05-17 |
| 1871792770 | Sirumugai M Saravanan | Internal Medicine | 1116 N 16th St Ste A, Lafayette, IN 47904-2119 | 2007-07-12 |
| 1568526432 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 1116 N 16th St Ste A, Lafayette, IN 47904-2119 | 2006-12-21 |
| 1144253170 | Igor Tubin | Internal Medicine | 1116 N 16th St Ste A, Lafayette, IN 47904-2119 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174732846 | Mohamad Allam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 155 Hospital Dr #301, Lafayette, LA 70503-2846 | 2007-05-21 |
| 1942220280 | Richard M Dearman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5000 Ambassador Caffery, Province Bldg. 14-a, Lafayette, LA 70508 | 2006-07-20 |
| 1477534402 | Thomas X Aufiero | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1176 N. 16th Street, Lafayette, IN 47904 | 2005-11-08 |
| 1922005768 | Mitchell David Lirtzman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5904 | 2005-07-07 |
| 1689825499 | Louisiana Cardiovascular and Limb Salvage Center, Apmc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4811 Ambassador Caffery Parkway, Suite 401a, Lafayette, LA 70508 | 2008-10-10 |
| 1851470033 | Douglas Charles Wallace | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 St Francis Way, Ste 201, Lafayette, IN 47905-4923 | 2006-11-06 |
| 1184643512 | John J Schier | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-07-18 |
| 1770542441 | Kenneth Samuel Stone | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1116 N 16th St, Suite A, Lafayette, IN 47904-2119 | 2006-03-21 |
| 1760489728 | David E Allie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4811 Ambassador Caffery Parkway, Suite 401a, Lafayette, LA 70508 | 2005-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063900249 | Patrick Finnan Vining | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 545 Barnhill Dr Emerson Hall 215, Indianapolis, IN 46202 | 2018-04-24 |
| 1588084685 | Ashish Pulikal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7120 Clearvista Dr Ste 5300, Indianapolis, IN 46256-5300 | 2014-04-16 |
| 1649602236 | John F Ansbro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6199 River Bluff Dr, Newburgh, IN 47630-8850 | 2013-08-06 |
| 1972895266 | Union Hospital, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 351 Maiden Lane, Union Hospital, Inc., Terre Haute, IN 47804-4073 | 2011-05-05 |
| 1013219435 | Walter William Jolly | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10101 Ditch Rd, Carmel, IN 46032-8897 | 2010-11-18 |
| 1407085228 | Alan Thomas Marty | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 214 W Water St, Newburgh, IN 47630-1159 | 2009-07-14 |
| 1336381680 | Giorgio Zanotti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10590 N Meridian St # 105, Indianapolis, IN 46290-1028 | 2009-04-01 |
| 1639337769 | Kyle W Yancey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Reid Pkwy Ste 240, Richmond, IN 47374-1157 | 2008-05-27 |
| 1316104839 | Jay B Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 610 N Michigan St Ste 306, South Bend, IN 46601-1079 | 2008-05-21 |
| 1114122488 | Hannah Copeland | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 | 2007-06-18 |
| Find all providers with the same taxonomy | ||||
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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.