Jobeda Sheuly, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301080642 Issued in MI

Practice address

1740 28TH St SE
Grand Rapids, MI 49508-1414

Phone

(616) 323-3999

Fax

(616) 552-1618

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patient One Care, PLLCGroup PAC ID 1658653860, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Patient One Care, PLLC

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1770934325
  Medicare reassignment Care Compare group Authorized official
• Patient One Care PLLC

  • Urgent Care Clinic/Center
  • Jenison, MI
  • NPI 1255178695
  NPD Authorized official
• Patient One Care, PLLC

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1013460591
  NPD Authorized official
• Patient One Care PLLC

  • Urgent Care Clinic/Center
  • Grandville, MI
  • NPI 1255001566
  NPD (past) Authorized official
• Patient One Care PLLC

  • Urgent Care Clinic/Center
  • Holland, MI
  • NPI 1427992189

  Family Medicine

  NPD (past) Authorized official
• Advantage Health Physicians PC

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1386695252
  NPD (past)
• Professional Financial Services

  • Urgent Care Clinic/Center
  • Byron Center, MI
  • NPI 1770603466
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1568415677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081414",
            "telephone_number": "616-323-3999",
            "fax_number": "616-552-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081414",
            "telephone_number": "616-323-3999",
            "fax_number": "616-552-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEULY",
        "first_name": "JOBEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Christopher Sherry, DO
• Kimberly Sherry, DMD
• Kyle Matthew Sherwin, DO
• Dee Ann Sherwood, PH.D., LMSW, MPA
• Nicole Ellis Sherwood, NP
• Janal Olive Shideler
• Danielle Shields, BSW
• Justin L Shields, PA
• Marah Shields
• Patrick Lamar Shields, CNA

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.