Individual provider Active NPI

Sharon Andrea McFayden Eyo, MD

  • Pediatrics Physician
  • Salisbury, MD
National Provider Identifier
1558397216
Registry record updated Sep 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0052347 Issued in MD
Practice address
1205 Pemberton Dr
Ste 102
Salisbury, MD 21801-2483
Phone
(410) 749-8300
Fax
(410) 860-9007
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0052347 MD Primary

Addresses

Primary practice location

1205 Pemberton Dr
Ste 102
Salisbury, MD 21801-2483

Mailing address

1205 Pemberton Dr
Ste 102
Salisbury, MD 21801-2483
Phone (410) 749-8300

Other identifiers 15

IdentifierTypeStateIssuer
331015896OtherINFORMED
19208OtherPRIORITY PARTNERS
54630302OtherCAREFIRST BCBS OF MARYLAN
181300OtherCOVENTRY
331015896OtherBCBS OF DELAWARE
S4610001OtherCAREFIRST BLUECHOICE
331015896OtherTRICARE
S4610001OtherBCBS FEDERAL
797900200MedicaidMD
19208OtherJOHN HOPKINS LLC EHP
331015896OtherACORDIA NATIONAL PERDUE
331015896OtherHUMANA
998471OtherAETNA HMO
331015896OtherNCPPO
5171584OtherAETNA NON HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0052347MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McFayden Eyo & Strottand Assoc PA Pediatrics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1558397216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PEMBERTON DR",
            "address_2": "STE 102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012483",
            "telephone_number": "410-749-8300",
            "fax_number": "410-860-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 PEMBERTON DR",
            "address_2": "STE 102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012483",
            "telephone_number": "410-749-8300",
            "fax_number": "410-860-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFAYDEN EYO",
        "first_name": "SHARON",
        "middle_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0052347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED",
            "identifier": "331015896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS",
            "identifier": "19208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MARYLAN",
            "identifier": "54630302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "181300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DELAWARE",
            "identifier": "331015896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "S4610001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "331015896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "S4610001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797900200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN HOPKINS LLC EHP",
            "identifier": "19208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACORDIA NATIONAL PERDUE",
            "identifier": "331015896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "331015896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "998471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "331015896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "5171584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.