Organization Active NPI

Paul L Sheehy Jr DPM PA

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1033197686
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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

Updated by the provider on Feb 19, 2010

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080912000380 FL Part B Supplier - Clinic/Group Practice 3072689173 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL
O20100930016947 FL DME Supplier - Physician - Podiatry 3072689173 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.