DR. STACEY L SHERIDAN (NPI# 1831122340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831122340 |
| Entity Type | Individual |
| Full Name | DR. STACEY L SHERIDAN |
| Credential | MD |
| Practice Address |
101 Manning Dr Chapel Hill NC 27599-0001 |
| Mailing Address |
143 W Franklin St Chapel Hill NC 27516-2539 |
| Practice Telephone | 9199664996 |
| Practice Fax Number | 9198435515 |
| Mailing Telephone | 9199664996 |
| Mailing Fax Number | 9198435515 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9901031 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891229M | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508317348 | Stacey Sheridan | Speech-Language Pathologist | 2265 Hickory Circle Dr, Howell, MI 48855-6411 | 2016-10-17 |
| 1902059108 | Stacey Lyn Sheridan | Speech-Language Pathologist | 7 Magnolia Dr, Rocky Point, NY 11778-9180 | 2008-10-31 |
| 1114158235 | Stacey Janette Sheridan | Physical Therapist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2009-08-06 |
| Street Address |
101 MANNING DR |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243466 | Kimberly Anne Kasow Wichlan | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2005-05-23 |
| 1316547888 | Brittany Edmonson | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-26 |
| 1689273138 | Matthew Eaton Cornwell | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4226 | 2020-10-25 |
| 1952900771 | Christina Rose Villanova | Dietitian, Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-22 |
| 1861091134 | Yulia Nemtsev | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-19 |
| 1811595556 | Alison Baron-johnson | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-14 |
| 1780282947 | Matthew Fram | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-10 |
| 1508471806 | Emily Hartman | Nurse Anesthetist, Certified Registered | 101 Manning Dr, Chapel Hill, NC 27514-4226 | 2020-09-13 |
| 1013522424 | Hannah Chicowlas Morgan | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-09-11 |
| 1508479270 | Dhruthi Patel | Nurse Anesthetist, Certified Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1972037687 | Hillary Beth Spangler | Internal Medicine | 260 Macnider Building Unc School of Medicine, Chapel Hill, NC 27599-7220 | 2017-04-19 |
| 1811438047 | Leah Mccrary | Internal Medicine | 130 Mason Farm Rd Bioinformatics Building Cb# 7030, Chapel Hill, NC 27599-2200 | 2017-03-20 |
| 1902256431 | Susan Keen | Internal Medicine | 590 Manning Drive Unc Preventive Medicine Residency, Chapel Hill, NC 27599-0001 | 2016-06-15 |
| 1568810174 | Courtney Ellen Detwiler | Internal Medicine | 101 Manning Drive Hospital Medicine Cb #7085, Chapel Hill, NC 27599-3219 | 2016-05-25 |
| 1023463668 | Erin Marie Finn | Internal Medicine | Unc Department of Internal Medicine, 230 Macnider: Cb# 7593, Chapel Hill, NC 27599-7593 | 2016-05-02 |
| 1306209937 | Kunal K Jakharia | Internal Medicine | Cb# 7020, 130 Mason Road Bioinformatics Building, Chapel Hill, NC 27599-3017 | 2016-03-31 |
| 1477915577 | Sasha Deutsch-link | Internal Medicine | 130 Mason Farm Road, 4119b Bioinformatics Bldg., Chapel Hill, NC 27599-7080 | 2016-03-28 |
| 1598138901 | Gregg Stave | Internal Medicine | 101 Stoneridge Pl, Chapel Hill, NC 27514-9775 | 2015-11-06 |
| 1376923078 | Kevin Zachary Kinlaw | Internal Medicine | 125 Macnider Hall Clb # 7005, Unc-chapel Hill, Chapel Hill, NC 27599-7005 | 2015-06-08 |
| 1538548268 | Casey Gazda | Internal Medicine | 160 Dental Circle Burnett-womack Building Cb# 7075, Chapel Hill, NC 27599-1009 | 2015-05-27 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.