Phelan Shea

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

29523 Issued in NV

Practice address

22 S Greene St # S12B11
Baltimore, MD 21201-1544

Phone

(410) 328-8621

NPI assigned

May 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Neurosurgery

Education

University of Maryland School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James J Lynch M D LTDGroup PAC ID 9133188626, shared by 6 NPIs, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1679139141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST # S12B11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST # S12B11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-8621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 Medical Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897034636",
            "country_code": "US",
            "telephone_number": "775-348-8800",
            "fax_number": "480-499-8459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Vista Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894346677",
            "country_code": "US",
            "telephone_number": "775-348-8800",
            "fax_number": "480-499-8459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9480 Double Diamond Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895215842",
            "country_code": "US",
            "telephone_number": "775-348-8800",
            "fax_number": "480-499-8459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "PHELAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "29523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonid Shayayev
• Shea Care
• Jacqueline Victoria Shea, NP
• Kerry Elizabeth Shea, LCSW-C
• Nicole Shea, LCSW-C
• Monica Sheaffer, O.D.
• Carol M Sheahan, NURSE PRACTITIONER
• Lynda Nycole Shealy, DPT
• Brian Michael Shear
• Zachary Shear

• Neurological Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Neurological Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.