DR. MARK D SHEEHAN (NPI# 1134199441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134199441 |
| Entity Type | Individual |
| Full Name | DR. MARK D SHEEHAN |
| Credential | M.D. |
| Practice Address |
4102 Pinion Dr Ste 100 U S A F Academy CO 80840-2502 |
| Mailing Address |
102 Vale St Palmer Lake CO 80133-9407 |
| Practice Telephone | 7193335180 |
| Mailing Telephone | 7194824295 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
L4116 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831628627 | Mark Sheehan | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2017-06-06 |
| 1568450674 | Mark W Sheehan | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2005-10-12 |
| Street Address |
4102 PINION DR STE 100 |
| City | U S A F ACADEMY |
| State | CO |
| Zip Code | 80840-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963743 | John Joseph Kupko II | Ophthalmology | 4102 Pinion Dr, U S A F Academy, CO 80840-2502 | 2005-06-22 |
| 1871760215 | Connie M Converse | Audiologist | 4102 Pinion Dr, U S A F Academy, CO 80840-2502 | 2008-05-14 |
| 1144354721 | Vicki Lynn Niazi | Registered Nurse | 4102 Pinion Dr, U S A F Academy, CO 80840-2502 | 2007-03-15 |
| 1326134651 | Angela Christine Spangler | Psychologist | 4102 Pinion Dr, Suite 100, U S A F Academy, CO 80840-2502 | 2006-10-05 |
| 1457458127 | Kristin Larkey | Social Worker | 4102 Pinion Dr, U S A F Academy, CO 80840-2502 | 2006-09-17 |
| 1487690145 | Gregg Steven Lowe | Registered Nurse | 4102 Pinion Dr, 10th Medical Group, U S A F Academy, CO 80840-2502 | 2006-06-21 |
| 1528013604 | John Christopher Mcgee | Physical Therapist | 4102 Pinion Dr, 10 Mdg / Sgosy, Suite 100, U S A F Academy, CO 80840-2502 | 2006-05-24 |
| 1396797676 | James Russell Boehlke | Pediatrics | 4102 Pinion Dr, Suite 100, U S A F Academy, CO 80840-2502 | 2006-05-16 |
| 1871543066 | Mary Jo Mcginty | Physical Therapist | 4102 Pinion Dr, U S A F Academy, CO 80840-2502 | 2006-05-11 |
| 1376592766 | Lori A Hamm | Optometrist | 4102 Pinion Dr, 10 Mdg/sgose; Suite 100, U S A F Academy, CO 80840-2502 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1669582722 | Scott Layle Carbaugh | Physician Assistant | 4102 Pinion Dirve, Usaf Academy, CO 80840 | 2006-08-30 |
| Find all providers in zip 80840 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881674331 | Peter Thomas Walsh | Preventive Medicine | 4102 Pinion Dr, U S A F Academy, CO 80840-2502 | 2006-01-19 |
| 1619953551 | Christian R Benjamin | Preventive Medicine | 4102 Pinion Dr, Suite 100, U S A F Academy, CO 80840-2502 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659504843 | Robert E Gold | Preventive Medicine | 7395 S Peoria St, C-11 Suite 208, Englewood, CO 80112-4158 | 2009-09-03 |
| 1164543724 | Alex Mark Wolbrink | Preventive Medicine | 3472 Research Pkwy # 104-381, Colorado Springs, CO 80920-1066 | 2007-04-02 |
| 1609896299 | Paul Glenn Merchant Jr. | Preventive Medicine | 8034 Edgerton Dr, Suite 132, Usafa, CO 80840-2200 | 2006-07-19 |
| 1851340327 | Phillip Ernest Parker | Preventive Medicine | 2340 Ridgetrail Dr, Castle Rock, CO 80104-7692 | 2006-05-10 |
| 1619943149 | James Malenkos IIi | Preventive Medicine | 5153 Sand Hill Drive, Colorado Springs, CO 80923 | 2006-02-24 |
| 1477545887 | Jay C. Neubauer | Preventive Medicine | 2355 Faculty Dr, Us Air Force, CO 80840 | 2005-08-22 |
| 1811989676 | Lane Lamar Wall | Preventive Medicine | Bldg 813 Room 104, Fort Carson, CO 80913 | 2005-08-18 |
| 1194163550 | Jessica A Warneke | Preventive Medicine | 1650 Cochrane Cir Bldg 7500, Fort Carson, CO 80913-4613 | 2013-06-07 |
| 1396188025 | Jordan Kenneth Marshall | Preventive Medicine | 275 S Aspen St Stop 89, Buckley Afb, CO 80011-9562 | 2013-04-11 |
| 1881928562 | Robert Warren Weien | Preventive Medicine | 6660 Delmonico Dr, Suite D-504, Colorado Springs, CO 80919-1899 | 2009-09-28 |
| Find all providers with the same taxonomy | ||||
| City | U S A F ACADEMY |
| Zip Code | 80840 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.