PHILLIP T. SHERIDAN (NPI# 1205898004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205898004 |
| Entity Type | Individual |
| Full Name | PHILLIP T. SHERIDAN |
| Credential | M.D. |
| Practice Address |
2080 Woodwinds Dr Suite 230 Woodbury MN 55125-2523 |
| Mailing Address |
2080 Woodwinds Dr Suite 110 Woodbury MN 55125-2523 |
| Practice Telephone | 6515786949 |
| Practice Fax Number | 6515783074 |
| Mailing Telephone | 6517386600 |
| Mailing Fax Number | 6517386804 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 37238 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003644 | Phillip John Sheridan | Dentist | Keesler Air Force Base, 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-01 |
| 1275512444 | Phillip J Sheridan | Dentist | 200 1st St Sw, Rochester, MN 55905 | 2006-01-16 |
| Street Address |
2080 WOODWINDS DR SUITE 230 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447219274 | Jennifer M Becker | Nurse Practitioner | 2080 Woodwinds Dr, Suite 240, Woodbury, MN 55125-2523 | 2006-03-21 |
| 1124456413 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2523 | 2013-10-23 |
| 1174750079 | Alla Kelly | Ophthalmology | 2080 Woodwinds Dr, 110, Woodbury, MN 55125-2523 | 2009-06-18 |
| 1760637409 | Christopher C Schnelle | Optometrist | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2008-11-21 |
| 1730361478 | Midwest Surgery Center | Nurse Anesthetist, Certified Registered | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2007-12-05 |
| 1326169160 | Garrett R Griffin | Otolaryngology | 2080 Woodwinds Dr, Suite 120, Woodbury, MN 55125 | 2007-04-02 |
| 1033249065 | Patricia Ann Carroll | Occupational Therapist | 2080 Woodwinds Dr, #240, Woodbury, MN 55125-2523 | 2007-03-07 |
| 1629130521 | Midwest Surgery Center | Clinic/Center | 2080 Woodwinds Dr, Woodbury, MN 55125-2523 | 2006-12-15 |
| 1588754584 | Otolaryngology Head & Neck Surgery, Pa | Hearing Aid Equipment | 2080 Woodwinds Dr, #240, Woodbury, MN 55125-2523 | 2006-10-13 |
| 1720173651 | St Paul Eye Clinic Pa | Clinic/Center | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851589709 | Mohit Alex Dewan | Ophthalmology | 635 Bielenberg Dr Ste 220, Woodbury, MN 55125-2625 | 2007-10-04 |
| 1316972367 | David Allen Schlessinger | Ophthalmology | 75 Froehlich Farm Blvd, Woodbury, NY 11797-2903 | 2006-07-11 |
| 1295707958 | Douglas George Tani | Ophthalmology | 7125 Tamarack Rd Ste 100, Woodbury, MN 55125-1308 | 2006-02-06 |
| 1568462042 | Srilata Sriram Naidu | Ophthalmology | 225 Froehlich Farm Blvd, Woodbury, NY 11797 | 2005-07-27 |
| 1073519500 | Barry David Galman | Ophthalmology | 661 N Broad St, Woodbury, NJ 08096-1621 | 2005-06-21 |
| 1275538571 | Gary S Schwartz | Ophthalmology | 237 Radio Dr Ste 100, Woodbury, MN 55125-4478 | 2005-06-15 |
| 1356753883 | Brett Michael Weinstock | Ophthalmology | 661 N Broad St, Woodbury, NJ 08096 | 2014-06-02 |
| 1295077444 | Krista Stewart | Ophthalmology | 7125 Tamarack Rd Ste 100, Woodbury, MN 55125-1308 | 2013-03-25 |
| 1174750079 | Alla Kelly | Ophthalmology | 2080 Woodwinds Dr, 110, Woodbury, MN 55125-2523 | 2009-06-18 |
| 1407097736 | Lebanon Eye Associates | Ophthalmology | 370 Doolittle Rd, Suite 4, Woodbury, TN 37190-1129 | 2009-03-17 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on PHILLIP T. 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.