Sheryl Ann O'Shea, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2000-256 Issued in NM

Practice address

129 Medicine Horse Drive
To'Hajiilee, NM 87026

Phone

(505) 908-2307

Fax

(505) 908-2310

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Georgetown University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canoncito Band of Navajos Health Center, IncGroup PAC ID 8325321235, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Canoncito Band of Navajos Health Center, Inc.

  • Rural Health Clinic/Center
  • Tohajiilee, NM
  • NPI 1578010070

  TX

  Medicare reassignment Care Compare group NPD
• Canoncito Band of Navajos Health Center, Inc

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Canoncito, NM
  • NPI 1629525605
  NPD
• Canoncito Band of Navajos Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tohajiilee, NM
  • NPI 1316571441
  NPD
• Optumcare New Mexico LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1295726073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3338",
            "city": "TOHAJIILEE",
            "state": "NM",
            "postal_code": "870263338",
            "telephone_number": "505-908-2307",
            "fax_number": "505-908-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MEDICINE HORSE DRIVE",
            "city": "TO'HAJIILEE",
            "state": "NM",
            "postal_code": "87026",
            "telephone_number": "505-908-2307",
            "fax_number": "505-908-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2000-256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan John Johnson
• Ruth Lynne Kelly, LMSW
• Elaine Little, R.D.
• Kimberly Ann Madden, MSN, RN
• Marian Nez, CHW
• Demetria Robina Platero, CPSS
• Julianna Jean Reece, M.D.
• Ursula Renee Roblero, MD
• David Sanabria, CHW/R
• Darren Tyler Secatero, LPN

• Family Medicine Physician in To'Hajiilee, NM
• Providers in To'Hajiilee, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.