Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zachary Daniel Sheridan

Individual provider Surgical Physician Assistant · NPI 1639910904

Zachary Daniel Sheridan is a Physician Assistant in Peoria, Arizona. Qualified in 2025, 1 year ago. Practices with Bhsm Rehabilitation LLC, a 456-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2024
Specialties on file
2

Practice location Address checks out

6760 W Thunderbird Rd Ste E110
Peoria, AZ 85381-5027
Phone: (602) 648-5444
Fax: (602) 772-3801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11377 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 11377 (AZ)

Record details

NPI number1639910904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bhsm Rehabilitation Llc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Peoria