Steffany Brooke Shearer, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

201700793 Issued in NC

Practice address

800 Springfield Commons Dr Ste 115
Raleigh, NC 27609-8533

Phone

(919) 876-3656

Fax

(919) 876-2351

NPI assigned

Oct 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sshearer@aadermaffiliates.emadirect.md
• Direct secure messaging: steffanyshearer@rd.allscriptsdirect.net

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.

• James Todd Williams MD

  • Dermatology Physician
  • Asheboro, NC
  • NPI 1700843323
  Medicare reassignment NPD
• TLK Dermatology PLLC

  • Dermatology Physician
  • Asheboro, NC
  • NPI 1780453464
  NPD
• Anne Arundel Dermatology Affiliates PC

  • Dermatology Physician
  • Hunt Valley, MD
  • NPI 1083200794
  NPD (past)

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1912250499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRINGFIELD COMMONS DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098533",
            "telephone_number": "919-876-3656",
            "fax_number": "919-876-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRINGFIELD COMMONS DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098533",
            "telephone_number": "919-876-3656",
            "fax_number": "919-876-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "STEFFANY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-20",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS11886",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N7752",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "5340",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "201700793",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "201700793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Marie Shea, M.D.
• John Christian Sheaffer, DDS, MS
• Lisa Marie Brown Sheaffer, DDS
• Traci I Sheaffer, M.D.
• April Dawn Shearer, LCASA
• Nancy Carter Shedlick, CRNA
• Raymond Robert Shedlick, CRNA
• Brittany Shedrick, LCSWA
• Rebecca Louise Shedrick, FNP-C
• Erin Sheeder Martinez, DPT, PCS

• MOHS-Micrographic Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.