Shedden Pain Relief & Sports Medicine LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

DO118 Issued in AL

Legal business name

SHEDDEN PAIN RELIEF & SPORTS MEDICINE LLC

Practice address

1733 W Main St
Suite 100
Dothan, AL 36301-1330

Phone

(334) 702-9445

Fax

(334) 702-9465

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia D. Shedden

Title

Administrator

Phone

(334) 702-9445

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1801121504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8365",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363040365",
            "telephone_number": "334-702-9445",
            "fax_number": "334-702-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011330",
            "telephone_number": "334-702-9445",
            "fax_number": "334-702-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEDDEN PAIN RELIEF & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "SHEDDEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-702-9445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AL",
            "license": "DO118",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "DO118",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AL",
            "license": "DO118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "051554243",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhoomi Shah
• Rakesh Kumar Shah, MD
• Shai Hall Miles, DDS, P.C.
• Sharing Space Therapy LLC
• Siddharth Sharma
• Robert D Shedden, DO
• Mughis Ahmed Sheerani, MD
• Carol Sheffield
• David S Sheffield, OD
• Sara Sheffield

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.