Individual provider Active NPI

C Sheehan

  • Internal Medicine Physician
  • Waterford, MI
National Provider Identifier
1033122577
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
62854 Issued in MI
Practice address
1724 Airport Rd
Waterford, MI 48327-1390
Phone
(248) 673-5520
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 62854 MI
Internal Medicine Physician 207R00000X 62854 MI Primary

Addresses

Primary practice location

1724 Airport Rd
Waterford, MI 48327-1390

Mailing address

1724 Airport Rd
Waterford, MI 48327-1390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000638 MI Practitioner - Internal Medicine 4789671835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Airport Family Physicians LLCGroup PAC ID 4183611221, 3 clinicians

Practice addresses (Care Compare)

1724 Airport Rd
Suite 102
Waterford, MI 48327-1390
Phone (248) 676-3552

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62854MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Airport Family Physicians LLC CurrentSince Jun 1, 2004 Accepting new patients

Locations

1724 Airport Rd
Waterford, MI 48327
Phone (248) 673-5520

1724 Airport Rd
Ste 102
Waterford, MI 48327
Phone (248) 673-5520

Interoperability endpoints

  • Direct secure messaging: colleensheehan@afpa.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1033122577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 AIRPORT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 AIRPORT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271390",
            "telephone_number": "248-673-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "62854",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "62854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.