Individual provider Active NPI

Paul L Sheehy Jr, DPM

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1053308924
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P00002216 Issued in FL
Practice address
812 W MLK Jr Blvd
Suite #101
Tampa, FL 33603-3338
Phone
(813) 872-8939
Fax
(813) 872-8649
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P00002216 FL 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

Other identifiers 1

IdentifierTypeStateIssuer
056645400MedicaidFL

Other names 1

  • Paul L Sheehy Jr Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000303 FL Practitioner - Podiatry 4486720737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4144 N Armenia Ave
Suite 230
Tampa, FL 33607-1002
Phone (813) 872-8939

Hospital & facility affiliations

  • Prestige Home Healthcare of Tampa Bay LLC Home health agency, Tampa, FL, CCN 687296

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue103
Removal of nail tissue387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P00002216FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul L Sheehy Jr DPM PA Podiatrist CurrentSince Nov 1, 1991 Accepting new patients
Podiatry Nursing Home Associates Current Accepting new patients

Locations

4144 N Armenia Ave
Ste 230
Tampa, FL 33607
Phone (813) 872-8566

Organizations & group practices 2

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 1

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1053308924",
    "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": {
        "last_name": "SHEEHY JR",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P00002216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056645400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "SHEEHY JR",
            "middle_name": "L",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.