Active NPI
Douglas Paul Sheehan, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Hanover, PA
National Provider Identifier
1679553887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC003296L
- Practice address
- 250 Fame Ave
Suite 220
Hanover, PA 17331-1587 - Phone
- (717) 632-5264
- Fax
- (717) 632-1165
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC003296L | PA | Primary |
Addresses
Primary practice location
250 Fame Ave
Suite 220
Hanover, PA 17331-1587
Mailing address
250 Fame Ave
Suite 220
Hanover, PA 17331-1587
Phone (717) 632-5264
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234094 | Other | MD | OPTIMUM CHOICE |
| 232815860 | Other | PA | SOUTH CENTRAL PREFERRED |
| 50000708 | Other | PA | CAPITAL BLUE CROSS |
| 610215 | Other | PA | FEDERAL BC/BS |
| 1493380 | Other | PA | CIGNA |
| 232815860 | Other | KY | HEALTH ASSURANCE/AMERICA |
| 610215 | Other | PA | KEYSTONE |
| 781462 | Other | PA | AMERIHEALTH ADMINISTRATOR |
| 234094 | Other | MD | ALLIANCE |
| 480009391 | Other | GA | MEDICARE RAILROAD |
| 232815860 | Other | SC | TRICARE REGION 1 |
| 232815860 | Other | PA | CORESOURCE |
| 234094 | Other | MD | MAMSI |
| 52383502 | Other | MD | BLUE CROSS/BLUE SHIELD MD |
| T381 | Other | DC | CAREFIRST BC/BS DC |
| 610215 | Other | PA | HIGHMARK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1679553887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 FAME AVE",
"address_2": "SUITE 220",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311587",
"telephone_number": "717-632-5264",
"fax_number": "717-632-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FAME AVE",
"address_2": "SUITE 220",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311587",
"telephone_number": "717-632-5264",
"fax_number": "717-632-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "DOUGLAS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC003296L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "234094",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CENTRAL PREFERRED",
"identifier": "232815860",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50000708",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BC/BS",
"identifier": "610215",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1493380",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE/AMERICA",
"identifier": "232815860",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "610215",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRATOR",
"identifier": "781462",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "234094",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480009391",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE REGION 1",
"identifier": "232815860",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORESOURCE",
"identifier": "232815860",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "234094",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD MD",
"identifier": "52383502",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS DC",
"identifier": "T381",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "610215",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.