NPIMap

Organization Active NPI

Sheldon Medical LLC

  • Hearing and Speech Clinic/Center
  • Coos Bay, OR
National Provider Identifier
1407023328
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
10886 Issued in OR
Legal business name
SHELDON MEDICAL LLC
Practice address
490 N 2ND St
Suite C
Coos Bay, OR 97420-2370
Phone
(541) 267-5221
Fax
(541) 267-5221
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Mrs. Melody Sheldon, M.A.NPI 1679667398
Title
Speech Pathologist
Phone
(541) 267-5221

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
Hearing and Speech Clinic/Center 261QH0700X 10886 OR Primary

Addresses

Primary practice location

490 N 2ND St
Suite C
Coos Bay, OR 97420-2370

Mailing address

490 N 2ND St
Suite C
Coos Bay, OR 97420-2370
Phone (541) 267-5221

Other identifiers 2

IdentifierTypeStateIssuer
089037MedicaidOR
047063MedicaidOR

Other names 1

  • Southwest Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000215 OR Part B Supplier - Clinic/Group Practice 5991858649 Receives reassigned benefits from 1 practitioner
Practice locations: North Bend, OR

National Provider Directory

National Provider Directory

Locations

490 N 2nd St
Ste C
Coos Bay, OR 97420
Phone (541) 267-5221

2085 Inland Dr
Ste A
North Bend, OR 97459
Phone (541) 267-5221

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1407023328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 N 2ND ST",
            "address_2": "SUITE C",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202370",
            "telephone_number": "541-267-5221",
            "fax_number": "541-267-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 N 2ND ST",
            "address_2": "SUITE C",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202370",
            "telephone_number": "541-267-5221",
            "fax_number": "541-267-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "541-267-5221",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "OR",
            "license": "10886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089037",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047063",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.