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SHERIDAN DRIVE MEDICAL GROUP LLP
NPI 1679684625
Internal Medicine in Tonawanda, NY

Active since August 31, 2006CLIA 33D1009784 · Waiver
1491 SHERIDAN DR, TONAWANDA, NY 14217(716) 332-4476(716) 332-4479 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheridan Drive Medical Group Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERIDAN DRIVE MEDICAL GROUP LLP (NPI 1679684625) is a healthcare organization registered as an internal medicine in Tonawanda, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Anne Elizabeth Campagna, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679684625
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHERIDAN DRIVE MEDICAL GROUP LLP
Location Address1491 SHERIDAN DRTonawanda, NY 14217-1234
Mailing Address1491 Sheridan DrTonawanda, NY 14217-1234 · (716) 332-4476 · Fax (716) 332-4479
Phone(716) 332-4476
Fax(716) 332-4479
Organization SubpartNo
Authorized OfficialAnne Elizabeth CampagnaOffice Manager · (716) 332-4476
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 22, 2011
✔ NPI 1679684625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 183745
Definition
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.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 183745 (NY)
1491 SHERIDAN DR, Tonawanda, NY 14217
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Other Identifiers 1

Medicaid01345179NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1009784

Sheridan Drive Medical Group LLP · Buffalo, NY
Active · expires Feb 24, 2027
CLIA Number33D1009784
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorRichard A. Carlson
Laboratory Phone(716) 332-4476
Laboratory LocationSheridan Drive Medical Group LLP1491 Sheridan Dr, Buffalo, NY 14217
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID B DOYLE MD
Urology (Pediatric Urology)
1491 SHERIDAN DR, SUITE 600
KENMORE, NY 14217
Erie County (716) 876-4047
SHAWN ROBERT CAMPBELL PA
Physician Assistant
1491 SHERIDAN DR, SUITE 100
TONAWANDA, NY 14217
Erie County (716) 332-4476
APNEA CARE INC.
Durable Medical Equipment & Medical Supplies
1491 SHERIDAN DR, SUITE 500
TONAWANDA, NY 14217
Erie County (716) 923-2727
MS. KAYLEE LYN FORD PA
Physician Assistant
1491 SHERIDAN DR
TONAWANDA, NY 14217
Erie County (716) 332-4476
MS. SARAH SHEEHAN CLEVELAND RPA-C
Physician Assistant
1491 SHERIDAN DR, SUITE 100
TONAWANDA, NY 14217
Erie County (716) 332-4476
RAJIV JAIN MD
Internal Medicine
1491 SHERIDAN DR
TONAWANDA, NY 14217
Erie County (716) 332-4476
DR. RICHARD ANDREW CARLSON JR MD
Internal Medicine
1491 SHERIDAN DR, SHERIDAN MEDICAL GROUP
TONAWANDA, NY 14217
Erie County (716) 332-4476
ALLISON ROSE ARIDA N.P.
Nurse Practitioner (Psychiatric/Mental Health)
1491 SHERIDAN DR, SUITE 100
TONAWANDA, NY 14217
Erie County (716) 332-4476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheridan Drive Medical Group LLP's NPI number?

The NPI number for Sheridan Drive Medical Group LLP is 1679684625. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Sheridan Drive Medical Group LLP located?

Sheridan Drive Medical Group LLP is located at 1491 Sheridan Dr, Tonawanda, NY 14217. The listed phone number is (716) 332-4476.

What is Sheridan Drive Medical Group LLP's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Sheridan Drive Medical Group LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1009784) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sheridan Drive Medical Group LLP was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.