Individual provider Active NPI

Michael Dean Sheaffer, DO

  • Hospitalist Physician
  • Hazleton, PA
National Provider Identifier
1316960149
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS007163L Issued in PA
Practice address
700 E Broad St
Hazleton, PA 18201-6835
Phone
(570) 270-4455
NPI assigned
Jul 25, 2006
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8371 ND
Internal Medicine Physician 207R00000X 2008-01979 NC
Hospitalist Physician 208M00000X OS007163L PA Primary

Addresses

Primary practice location

700 E Broad St
Hazleton, PA 18201-6835

Mailing address

PO Box 1209
Franklin, NC 28744-0569
Phone (828) 213-1500

Other practice location 1

120 Riverview St
Franklin, NC 28734-2612
Phone (828) 524-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081223000171 NC Practitioner - Internal Medicine 7012910805
I20200203002387 PA Practitioner - HospitalistPractitioner - Internal Medicine 7012910805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2008-01979NCMDInternal Medicine Physician
8371NDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine Lehigh PC Hospitalist CurrentSince Dec 17, 2019 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1316960149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287440569",
            "telephone_number": "828-213-1500",
            "fax_number": "828-651-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-270-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Riverview St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342612",
            "country_code": "US",
            "telephone_number": "828-524-8411",
            "fax_number": "828-524-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEAFFER",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "8371",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01979",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS007163L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.