Charles Milton Sheaff, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036053603 Issued in IL

Practice address

1600 W Walnut St
East Wing 2ND Floor
Jacksonville, IL 62650-1136

Phone

(217) 479-5821

Fax

(217) 243-7406

NPI assigned

Jun 28, 2005

Sex

Male

Sole proprietor

Yes

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 IL

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Schuyler County Hospital District

  • Critical Access Hospital
  • Rushville, IL
  • NPI 1013969112

  IL

  Medicare reassignment NPD
• Schuyler County Hospital District

  • Rural Health Clinic/Center
  • Table Grove, IL
  • NPI 1194223719
  NPD
• Northwest Suburban Surgical Specialists, SC

  • Specialist
  • Arlington Heights, IL
  • NPI 1003953605
  NPD (past)
• Schuiyler County Hospital District Health Center Inc

  • Clinic/Center
  • Astoria, IL
  • NPI 1740431964
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1609873249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W WALNUT ST",
            "address_2": "EAST WING 2ND FLOOR",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501136",
            "telephone_number": "217-479-5821",
            "fax_number": "217-243-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W WALNUT ST",
            "address_2": "EAST WING 2ND FLOOR",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501136",
            "telephone_number": "217-479-5821",
            "fax_number": "217-243-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAFF",
        "first_name": "CHARLES",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036053603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Scroggins, D.P.M.
• Elizabeth Huss Secrist, LCPC
• Sterling Shafer, MD
• Sharshon Pharmacy Inc
• Steven Edison Shaw, D. C.
• Catherine Sheeley
• Larry E Sherwin, DC DABCO FACO
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Shoptikal LLC

• All providers in Jacksonville, IL
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.