Sheeba M. Picard, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04172 Issued in KY

Practice address

350 Langdon Street
Somerset, KY 42503-2786

Phone

(606) 678-8155

Fax

(606) 678-7548

NPI assigned

Mar 6, 2007

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Sheeba M. Ayli Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumberland Family Medical Center Inc

  dba Cumberland Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Burkesville, KY
  • NPI 1306873500
  Medicare reassignment NPD
• Cumberland Family Medical Center Inc

  dba Metcalfe County Middle Healthy Kids Clinic

  • Federally Qualified Health Center (FQHC)
  • Edmonton, KY
  • NPI 1548953672
  NPD
• Cumberland Family Medical Center Inc

  dba Women's Care for the Commonwealth

  • Federally Qualified Health Center (FQHC)
  • Danville, KY
  • NPI 1215918917
  NPD (past)
• City of Cincinnati

  dba Oyler Community Learning Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1043594260
  NPD (past)
• City of Cincinnati

  dba Ethel M. Taylor Academy

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1316294119
  NPD (past)
• City of Cincinnati

  dba Withrow High School

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1386906501
  NPD (past)
• City of Cincinnati

  dba Roll Hill Academy

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1548517337
  NPD (past)
• City of Cincinnati

  dba Aiken High School

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1952658759
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1417087966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LANGDON STREET",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032786",
            "telephone_number": "606-678-8155",
            "fax_number": "606-678-7548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 S Creek Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "KY",
            "postal_code": "42633",
            "country_code": "US",
            "telephone_number": "606-348-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICARD",
        "first_name": "SHEEBA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34-009766",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "04172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100499590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEEBA",
            "last_name": "AYLI",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Philpot, PHARM.D.
• Morgan Philpot, DC
• Phoenix Preferred Care, Inc.
• Physician Services PSC (Kentucky Pain Care & Bluegrass High Speed MRI)
• Robert T Picard, PA-C
• Ashley Hampton Ping, LPCC-S
• Janie Ping, L.P.C.C.
• Kathryn J Ping
• Sheila Ann Ping, M.S. CCC-SLP
• Tonya McKinney Pitt, LPCA

• Pediatrics Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.