Organization Active NPI

Sharon Dillon MD, PA

  • Pediatrics Physician
  • Melbourne, FL
National Provider Identifier
1891150231
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME63734 Issued in FL
Legal business name
SHARON DILLON MD, PA
Practice address
3150 N Wickham Rd Ste 6
Melbourne, FL 32935-2322
Phone
(321) 242-3227
Fax
(321) 242-4934
NPI assigned
Dec 30, 2015
Last updated
Dec 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. Sharon A. Dillon, MDNPI 1558311282
Title
President
Phone
(321) 242-3227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME63734 FL Primary

Addresses

Primary practice location

3150 N Wickham Rd Ste 6
Melbourne, FL 32935-2322

Mailing address

3150 N Wickham Rd Ste 6
Melbourne, FL 32935-2322
Phone (321) 242-3227

Other identifiers 2

IdentifierTypeStateIssuer
374715800MedicaidFL
25897OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

3150 N Wickham Rd
Ste 6
Melbourne, FL 32935
Phone (321) 242-3227

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1891150231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N WICKHAM RD STE 6",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352322",
            "telephone_number": "321-242-3227",
            "fax_number": "321-242-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N WICKHAM RD STE 6",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352322",
            "telephone_number": "321-242-3227",
            "fax_number": "321-242-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON DILLON MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-242-3227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME63734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374715800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.