Healthcare Provider Details

I. General information

NPI: 1871429043
Provider Name (Legal Business Name): SHERIDAN PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 SUGARLAND DR
SHERIDAN WY
82801-5775
US

IV. Provider business mailing address

PO BOX 5087
SHERIDAN WY
82801-1387
US

V. Phone/Fax

Practice location:
  • Phone: 307-683-0247
  • Fax: 307-224-2293
Mailing address:
  • Phone: 307-683-0247
  • Fax: 307-224-2293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVE EDWARD RABON
Title or Position: OWNER
Credential: DPM
Phone: 307-461-0875