Active NPI
Paul L Sheehy Jr DPM PA
- Podiatrist
- Tampa, FL
National Provider Identifier
1033197686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PAUL L SHEEHY JR DPM PA
- Practice address
- 812 W MLK Jr Blvd
Suite 101
Tampa, FL 33603-3338 - Phone
- (813) 872-8939
- Fax
- (813) 872-8649
- NPI assigned
- Jan 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul L Sheehy Jr., DPM
- Title
- Owner
- Phone
- (813) 872-8939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
812 W MLK Jr Blvd
Suite 101
Tampa, FL 33603-3338
Mailing address
PO Box 7756
Tampa, FL 33673-7756
Phone (813) 872-8939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Tampa, FL
- NPI 1053308924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1033197686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7756",
"city": "TAMPA",
"state": "FL",
"postal_code": "336737756",
"telephone_number": "813-872-8939",
"fax_number": "813-872-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 W MLK JR BLVD",
"address_2": "SUITE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033338",
"telephone_number": "813-872-8939",
"fax_number": "813-872-8649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL L SHEEHY JR DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "SHEEHY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-872-8939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.