Shea Orthopedic and Sports Medicine PC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

SHEA ORTHOPEDIC AND SPORTS MEDICINE PC

Practice address

1580 Creekside Drive
Folsom, CA 95630

Phone

(916) 984-4500

Fax

(915) 984-4502

NPI assigned

Jul 11, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael A Shea, MD

Title

Owner

Phone

(916) 984-4500

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Monique Garvin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jackson, CA
  • NPI 1477840064
  NPD (past)
• Ernest J Hook, DPM

  • Foot & Ankle Surgery Podiatrist
  • Folsom, CA
  • NPI 1174614051
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1225762917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DRIVE",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-984-4500",
            "fax_number": "915-984-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DRIVE",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-984-4500",
            "fax_number": "915-984-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA ORTHOPEDIC AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-984-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakshi Sharma
• Urvashi Sharma
• Lauren Shaw
• Melauree Ann Shaw, PH.D.
• Shawn Palmer M.D. Inc
• Michael A. Shea, MD
• Derrica Shed
• Kyndall Sheehan
• Jessica Sheffler, PHARM.D.
• Sheila Shoja OD Inc

• Sports Medicine (Family Medicine) Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.