Sheridan Drive Medical Group LLP
NPI 1679684625ActiveOrganization· Internal Medicine· Tonawanda, NY
Internal Medicine in Tonawanda, New York, registered in NPPES in August 2006. The authorized official on file is Anne Elizabeth Campagna, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679684625 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Sep 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 183745 | NY |
| Internal Medicine, Geriatric Medicine | 207RG0300X | 183745 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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