Paul J Sheehan, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

R8A26 Issued in MO

Practice address

12255 Depaul Drive
Suite 830
Bridgeton, MO 63044

Phone

(314) 291-6556

Fax

(314) 291-0984

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• North County Neurosurgery, Inc

  • Neurological Surgery Physician
  • Bridgeton, MO
  • NPI 1023168101
  NPD (past) Authorized official

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1760470462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 DEPAUL DRIVE",
            "address_2": "SUITE 830",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-291-6556",
            "fax_number": "314-291-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DEPAUL DRIVE",
            "address_2": "SUITE 830",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-291-6556",
            "fax_number": "314-291-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "R8A26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30173",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura A Shapiro, MSW, ACSW, LCSW
• Jitendra Sharma
• Ariell Lashay Shaw
• Thomas Shaw, DO
• Sara Shea, RD, LD
• Paul W. Sheffner, M.D.
• Linda Shofner, CPNP
• Manisha Shrestha, FNP
• George Thomas Shuert, D.D.S.
• Amanda Shulman, MS, OTR/L

• Neurological Surgery Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Neurological Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.