Provider Demographics
NPI:1588686315
Name:WRIGHT-SHERIDAN, KAREN C (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:C
Last Name:WRIGHT-SHERIDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0388
Mailing Address - Country:US
Mailing Address - Phone:540-332-5168
Mailing Address - Fax:540-332-5875
Practice Address - Street 1:55 COMFORT WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-3788
Practice Address - Country:US
Practice Address - Phone:540-463-3381
Practice Address - Fax:540-463-3477
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVC942BMedicare PIN