Sheila C Lally, DO, PS

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OP00001442 Issued in WA

Legal business name

SHEILA C LALLY, DO, PS

Practice address

22180 Olympic College Way NW
Suite 204
Poulsbo, WA 98370-6664

Phone

(360) 697-6547

Fax

(360) 697-9277

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sheila Carolyn Lally, DO

Title

Owner

Phone

(360) 697-6547

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Abimbola Adike

  • Gastroenterology Physician
  • Poulsbo, WA
  • NPI 1821357112
  NPD
• Laura Jean Starkey, PA-C

  • Physician Assistant
  • Poulsbo, WA
  • NPI 1366883613
  NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1336209758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY NW",
            "address_2": "SUITE 204",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-697-6547",
            "fax_number": "360-697-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY NW",
            "address_2": "SUITE 204",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-697-6547",
            "fax_number": "360-697-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA C LALLY, DO, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "LALLY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-697-6547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "OP00001442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1089317",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SFH Diagnostics LLC
• Shades of Grace Emdr, Equine, Ifs Therapy, PLLC
• Kyan Shaffner, MA
• Shalom Hospice of Puget Sound LLC
• Sheila Andrews Inc
• Shelly Self DMD PLLC
• Fangchen Shen, M.D.
• Kirk D Sherris, DPM
• Susan J Shlifer, MD
• Abigale J Shreve, PHARMD

• Neuromusculoskeletal Medicine & OMM Physician in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.