Active NPI
Sheahan Eagan Family Care LLC
- Clinic/Center
- Ellisville, MO
National Provider Identifier
1508030008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SHEAHAN EAGAN FAMILY CARE LLC
- Practice address
- 16021 Manchester Rd
Ellisville, MO 63011-2103 - Phone
- (314) 458-6814
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melissa R Sheahan, D.C.
- Title
- President
- Phone
- (314) 458-6814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
16021 Manchester Rd
Ellisville, MO 63011-2103
Mailing address
16021 Manchester Rd
Ellisville, MO 63011-2103
Phone (314) 458-6814
National Provider Directory
National Provider DirectoryLocations
16021 Manchester Rd
Ellisville, MO 63011
Phone (314) 215-3217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1508030008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16021 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112103",
"telephone_number": "314-458-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16021 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112103",
"telephone_number": "314-458-6814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEAHAN EAGAN FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "SHEAHAN",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-458-6814",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.