Healthcare Provider Details

I. General information

NPI: 1093344871
Provider Name (Legal Business Name): SHERIDAN LEIGH JAMES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9813 N 95TH ST STE 105
SCOTTSDALE AZ
85258-4544
US

IV. Provider business mailing address

3333 E CAMELBACK RD STE 122
PHOENIX AZ
85018-2323
US

V. Phone/Fax

Practice location:
  • Phone: 480-217-9344
  • Fax: 949-703-8458
Mailing address:
  • Phone: 602-550-8156
  • Fax: 602-381-3281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number63629
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number63629
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: