# SHERIDAN HEALTHCARE OF VERMONT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366469447
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 160 ALLEN ST, RUTLAND, VT 05701-4560
- **Practice address phone:** (802) 775-7111
- **Practice address fax:** (954) 851-1758
- **Mailing address:** PO BOX 744544, ATLANTA, GA 30374-4544
- **Mailing address phone:** (954) 838-2371
- **Mailing address fax:** (913) 242-6850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 09/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1013060 | — | VT |