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SHERIDAN PULMONARY GROUP LLC NPI 1063742013


NPI Information

NPI: 1063742013
Provider Name: SHERIDAN PULMONARY GROUP LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
6830 HOSPITAL DR
SUITE 102
BALTIMORE, MD
ZIP 21237
Phone: (410) 687-6622
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SHERIDAN PULMONARY GROUP LLC is a pulmonary disease internal medicine in Baltimore, MD. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SHERIDAN PULMONARY GROUP LLC NPI is 1063742013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6830 HOSPITAL DR
SUITE 102
BALTIMORE, MD
ZIP 21237-373
Phone: (410) 687-6622
Fax: (410) 687-7039

The provider's authorized official is Martin Jerome Sheridan .
The authorized official title is President and has the following contact phone number (410) 687-6622.

The enumeration date for this NPI number is 1/13/2010 and was last updated on 1/13/2010.


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
1207RP1001XInternal MedicinePulmonary DiseaseD21846MARYLANDYes

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
1256331200MEDICAIDMARYLAND
2D74709MEDICARE UPINMARYLAND
37789MEDICARE PINMARYLAND

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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