NPIMap

Organization Active NPI

Sheila Falloon MD LLC

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1053709402
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01043979A Issued in IN
Legal business name
SHEILA FALLOON MD LLC
Practice address
6232 Shady Creek CT
Fort Wayne, IN 46814-3298
Phone
(260) 494-5884
Fax
(260) 426-0270
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Sheila C Falloon, MD
Title
President/Owner
Phone
(260) 494-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01043979A IN Primary

Addresses

Primary practice location

6232 Shady Creek CT
Fort Wayne, IN 46814-3298

Mailing address

6232 Shady Creek CT
Fort Wayne, IN 46814-3298
Phone (260) 494-5884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1053709402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 SHADY CREEK CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468143298",
            "telephone_number": "260-494-5884",
            "fax_number": "260-426-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 SHADY CREEK CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468143298",
            "telephone_number": "260-494-5884",
            "fax_number": "260-426-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA FALLOON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "FALLOON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "260-494-5884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01043979A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.