Organization Active NPI

Sheilah M Drevon MD PA

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1306965652
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHEILAH M DREVON MD PA
Practice address
3527 Little Road
New Port Richey, FL 34655
Phone
(727) 375-2025
Fax
(727) 376-4521
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Dr. Sheilah M Drevon, M.D.NPI 1932295896
Title
President
Phone
(727) 375-2025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3527 Little Road
New Port Richey, FL 34655

Mailing address

5341 Grand Blvd Ste 108
New Port Richey, FL 34652-4011
Phone (727) 375-2025

Other identifiers 1

IdentifierTypeStateIssuer
1932295896OtherFLNPI INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001076 FL Part B Supplier - Clinic/Group Practice 8820073240 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

5341 Grand Blvd
Ste 108
New Port Richey, FL 34652
Phone (727) 847-6453

3527 Little Rd
Trinity, FL 34655
Phone (727) 375-2025

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1306965652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 GRAND BLVD STE 108",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524011",
            "telephone_number": "727-375-2025",
            "fax_number": "727-849-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 LITTLE ROAD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-375-2025",
            "fax_number": "727-376-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILAH M DREVON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "DREVON",
        "authorized_official_first_name": "SHEILAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-375-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1932295896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.