Active NPI
Sharon Kay McElhinney, DO
- Pediatrics Physician
- Davenport, IA
National Provider Identifier
1659376556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 02455
- Practice address
- 3200 W Kimberly Road
Davenport Healthplex, Peds
Davenport, IA 52806 - Phone
- (563) 421-0010
- Fax
- (563) 421-0009
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 02455 | IA | Primary |
Addresses
Primary practice location
3200 W Kimberly Road
Davenport Healthplex, Peds
Davenport, IA 52806
Mailing address
3200 W Kimberly Road
Davenport Healthplex, Peds
Davenport, IA 52806
Phone (563) 421-0010
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5066423 | Medicaid | IA | |
| 034796 | Other | HEALTH ALLIANCE | |
| 19909 | Other | IOWA HEALTH SOLUTIONS | |
| 29771 | Other | IA | WELLMARK BC/BS |
| IA0127 | Other | JOHN DEERE HEALTH PLAN |
Other names 1
- Sharon Kay Dykstra
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sharon.dykstra@direct.genesishealth.com | ||
| Direct Messaging Address | sharon.dykstra@direct.genesishealth.com | Other |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02455 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- sharon.dykstra@direct.genesishealth.com
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": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1659376556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 W KIMBERLY ROAD",
"address_2": "DAVENPORT HEALTHPLEX, PEDS",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52806",
"telephone_number": "563-421-0010",
"fax_number": "563-421-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W KIMBERLY ROAD",
"address_2": "DAVENPORT HEALTHPLEX, PEDS",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52806",
"telephone_number": "563-421-0010",
"fax_number": "563-421-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELHINNEY",
"first_name": "SHARON",
"middle_name": "KAY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "02455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5066423",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "034796",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA HEALTH SOLUTIONS",
"identifier": "19909",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "29771",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH PLAN",
"identifier": "IA0127",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sharon.dykstra@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"address_1": "3200 W Kimberly Road",
"address_2": "Davenport Healthplex, Peds",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "52806",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sharon.dykstra@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CCDA",
"address_1": "3200 W Kimberly Road",
"address_2": "Davenport Healthplex, Peds",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "52806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHARON",
"last_name": "DYKSTRA",
"middle_name": "KAY",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.