| Sheridan Community Hospital | |
|
301 N Main St Sheridan MI 48884-0279 | |
| (989) 291-3261 | |
| (989) 291-3062 |
| Full Name | Sheridan Community Hospital |
|---|---|
| Speciality | Emergency Medicine |
| Location | 301 N Main St, Sheridan, Michigan |
| Authorized Official Name and Position | Ljiljana Petricevic (CEO) |
| Authorized Official Contact | 9892916222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Community Hospital 301 N Main St Po Box 279 Sheridan MI 48884-0279 Ph: (989) 291-3261 | Sheridan Community Hospital 301 N Main St Sheridan MI 48884-0279 Ph: (989) 291-3261 |
| NPI Number | 1528090594 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 04/22/2021 |
| Medicare PECOS PAC ID | 1658275342 |
|---|---|
| Medicare Enrollment ID | O20040315001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528090594 | NPI | - | NPPES |
| 700E96007 | Other | MI | BCBSM GROUP |
| 17827 | Other | MI | PRIORITY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | James L Horton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881639839 PECOS PAC ID: 4789570615 Enrollment ID: I20040226000358 |
| Provider Name | Matthew B Dewys |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427151083 PECOS PAC ID: 1456336205 Enrollment ID: I20040624000121 |
| Provider Name | Eric R Stockall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972560415 PECOS PAC ID: 4486618113 Enrollment ID: I20041112000930 |
| Provider Name | Stephen C Frey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780642058 PECOS PAC ID: 2264335991 Enrollment ID: I20050304000783 |
| Provider Name | John D Maskill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669422077 PECOS PAC ID: 0840237731 Enrollment ID: I20050412001085 |
| Provider Name | Ronald L Vanderlaan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447299599 PECOS PAC ID: 9830001577 Enrollment ID: I20050524000789 |
| Provider Name | John Lobo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962512699 PECOS PAC ID: 3274579891 Enrollment ID: I20050706000296 |
| Provider Name | Willis F Gaffney |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295704203 PECOS PAC ID: 5092721068 Enrollment ID: I20060228000538 |
| Provider Name | John F Keller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770664583 PECOS PAC ID: 1759287048 Enrollment ID: I20060309000338 |
| Provider Name | Travis J Graham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164536009 PECOS PAC ID: 9537178934 Enrollment ID: I20060412000659 |
| Provider Name | Byron J Druzgal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003868191 PECOS PAC ID: 9739143173 Enrollment ID: I20061201000278 |
| Provider Name | Eva L Bartlett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912044215 PECOS PAC ID: 7012095813 Enrollment ID: I20080418000465 |
| Provider Name | Markian Iwaszko |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659380939 PECOS PAC ID: 0143224006 Enrollment ID: I20101102000370 |
| Provider Name | Michael Cearlock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053577908 PECOS PAC ID: 7517140304 Enrollment ID: I20110401000205 |
| Provider Name | David J Heeringa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245353853 PECOS PAC ID: 4284803107 Enrollment ID: I20110811000076 |
| Provider Name | Venu Vadlamudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952508699 PECOS PAC ID: 2062656903 Enrollment ID: I20130916000710 |
| Provider Name | Justin C Clark |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598945644 PECOS PAC ID: 5991928590 Enrollment ID: I20140529001817 |
| Provider Name | Alex Kolascz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225416563 PECOS PAC ID: 7911219076 Enrollment ID: I20150701001944 |
| Provider Name | Lindsay E Mckelvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023461571 PECOS PAC ID: 4789972571 Enrollment ID: I20161011001725 |
| Provider Name | Meggen Walsh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013025436 PECOS PAC ID: 4981598000 Enrollment ID: I20170613000045 |
| Provider Name | Joshua J Saladino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720516065 PECOS PAC ID: 1951679984 Enrollment ID: I20170616000273 |
| Provider Name | Nicole M Lundy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144636960 PECOS PAC ID: 3779853296 Enrollment ID: I20170717001525 |
| Provider Name | Donald J Wolf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598271074 PECOS PAC ID: 2961766944 Enrollment ID: I20180426002433 |
| Provider Name | Krista L Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831503531 PECOS PAC ID: 2769609981 Enrollment ID: I20181109000071 |
| Provider Name | Jennifer Jean Kottra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477508935 PECOS PAC ID: 1355323775 Enrollment ID: I20181227001096 |
| Provider Name | Stacey R Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437632874 PECOS PAC ID: 1254679202 Enrollment ID: I20190218000065 |
| Provider Name | Kevin Macconnachie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174044598 PECOS PAC ID: 9133479538 Enrollment ID: I20190709002154 |
| Provider Name | Mohamad Saab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316258742 PECOS PAC ID: 7810126745 Enrollment ID: I20191024002187 |
| Provider Name | Bhavesh Amin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639690175 PECOS PAC ID: 9537430111 Enrollment ID: I20191105000253 |
| Provider Name | Werner H Henning |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891189171 PECOS PAC ID: 7315368792 Enrollment ID: I20200611000807 |
| Provider Name | Mountaha Ali Eidy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437644028 PECOS PAC ID: 2062768922 Enrollment ID: I20201130000556 |
| Provider Name | Michael J Brennan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811550981 PECOS PAC ID: 4587998208 Enrollment ID: I20210607001309 |
| Provider Name | Bader Elder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619538881 PECOS PAC ID: 4183024458 Enrollment ID: I20210609000855 |
| Provider Name | Gina L Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760095137 PECOS PAC ID: 9931500261 Enrollment ID: I20210624001231 |
| Provider Name | Ahmad Elkhatib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780246587 PECOS PAC ID: 4385049907 Enrollment ID: I20210819003460 |
| Provider Name | Brian A Mcparland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871088203 PECOS PAC ID: 5890041750 Enrollment ID: I20211005002189 |
| Provider Name | Omar A El Kateeb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235753112 PECOS PAC ID: 4183049695 Enrollment ID: I20220510002009 |
| Provider Name | Marius Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174147029 PECOS PAC ID: 0941625446 Enrollment ID: I20220512001861 |
| Provider Name | Josi R Rotunno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770220840 PECOS PAC ID: 8325426885 Enrollment ID: I20220613000969 |
| Provider Name | Samir Nadim Hammoud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679198972 PECOS PAC ID: 8123440658 Enrollment ID: I20220629000836 |
| Provider Name | Brandon Saher Hana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346816774 PECOS PAC ID: 0446651491 Enrollment ID: I20221018002429 |
| Provider Name | Beau Fabacher Domangue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588160428 PECOS PAC ID: 0840675088 Enrollment ID: I20221025002025 |
| Provider Name | Kuan Ting Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770151391 PECOS PAC ID: 7214338250 Enrollment ID: I20221212002758 |
| Provider Name | Kim A Williams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154587426 PECOS PAC ID: 1759504897 Enrollment ID: I20230131001123 |
| Provider Name | Joshua M Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114540929 PECOS PAC ID: 9739500778 Enrollment ID: I20230209000649 |
| Provider Name | Alex Pallas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235455262 PECOS PAC ID: 5991014169 Enrollment ID: I20230521000086 |
| Provider Name | Etienne Robert Galbreath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992201982 PECOS PAC ID: 0547684805 Enrollment ID: I20231003000289 |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Main St, Sheridan, MI 48884 Phone: 616-949-8244 | |
Ronald L. Steury, D. O., P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Congress St., Sheridan, MI 48884 Phone: 989-291-3227 Fax: 989-291-5359 | |
Sheridan Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Main St, Sheridan, MI 48884 Phone: 989-291-3261 Fax: 989-291-3062 | |
Spectrum Health United Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Main St, Sheridan, MI 48884 Phone: 616-754-2944 Fax: 616-754-2999 | |
Sheridan Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 Congress St, Sheridan, MI 48884 Phone: 989-291-5077 Fax: 989-291-4348 |