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SHERIDAN NEUROLOGY PC NPI 1528113180


NPI Information

NPI: 1528113180
Provider Name: SHERIDAN NEUROLOGY PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1050 MYDLAND RD
SHERIDAN, WY
ZIP 82801
Phone: (307) 673-6300
Get Directions

SHERIDAN NEUROLOGY PC is a neurology psychiatry neurology in Sheridan, WY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SHERIDAN NEUROLOGY PC NPI is 1528113180. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 MYDLAND RD
SHERIDAN, WY
ZIP 82801-186
Phone: (307) 673-6300
Fax: (307) 673-6303

The provider's authorized official is Jacque Reene Reed .
The authorized official title is Office Manager and has the following contact phone number (307) 673-6300.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 1/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology6950AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1148019300OTHERWYOMINGFEDERAL WORKERS COMP
2W20127MEDICARE ID-TYPE UNSPECIFIEDWYOMINGINDIVIDUAL
35696001OTHERWISCONSINWY BLUE SHIELD
4DC6874MEDICARE ID-TYPE UNSPECIFIEDRR MEDICARE GROUP
5W20126MEDICARE ID-TYPE UNSPECIFIEDWYOMING
6119441100MEDICAIDWYOMING
7120469600MEDICAIDWYOMING
8H55141MEDICARE UPIN
9P00184005MEDICARE ID-TYPE UNSPECIFIEDRR MEDICARE INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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