Ralph McKeetha Shealy, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

10451 Issued in SC

Practice address

2719 Coddell CT
Mount Pleasant, SC 29466-7930

Phone

(843) 224-6484

NPI assigned

Aug 10, 2014

Last updated

Aug 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407628800000",
    "number": "1053720417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 CODDELL CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667930",
            "telephone_number": "843-224-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 CODDELL CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667930",
            "telephone_number": "843-224-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "RALPH",
        "middle_name": "MCKEETHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "SC",
            "license": "10451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Shakir-Lesesne
• Ritu Sharma, RPT
• Elizabeth D Sharpe, M.D.
• Ellen Shaw, M.ED. ,LPC
• Kristen M Shealy, EDM; CAS; LPC
• Lorie Jane Shearon-Hanna, RN,CDE
• Rhiannon Shelbourne, RD, LD
• Sheldon C. Levin PH.D., LLC
• Shelley Birnie Physical Therapy, LLC
• Deborah Shelley

• Emergency Medical Services (Emergency Medicine) Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Emergency Medical Services (Emergency Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; 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.