Active NPI
Mark D Sheehan, M.D.
- Aerospace Medicine Physician
- Usaf Academy, CO
National Provider Identifier
1134199441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- L4116
- Practice address
- 4102 Pinion Dr
Ste 100
U S a F Academy, CO 80840-2502 - Phone
- (719) 333-5180
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | L4116 | TX | Primary |
Addresses
Primary practice location
4102 Pinion Dr
Ste 100
U S a F Academy, CO 80840-2502
Mailing address
102 Vale St
Palmer Lake, CO 80133-9407
Phone (719) 482-4295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4116 | TX | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1134199441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 VALE ST",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801339407",
"telephone_number": "719-482-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"address_2": "STE 100",
"city": "U S A F ACADEMY",
"state": "CO",
"postal_code": "808402502",
"telephone_number": "719-333-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "TX",
"license": "L4116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.