DOUGLAS HOUSTON SHEAFOR (NPI# 1669438610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669438610 |
Entity Type | Individual |
Full Name | DOUGLAS HOUSTON SHEAFOR |
Credential | M.D. |
Practice Address |
166 4th St. E. Ste. 100 St. Paul MN 55101 |
Mailing Address |
166 4th St. E. Ste. 100 St. Paul MN 55101-1421 |
Practice Telephone | 6512922000 |
Mailing Telephone | 6512922000 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2018-07-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
63618 | MN | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37425 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8975539 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407830037 | Douglas D. Sheafor | Psychiatry & Neurology | 2914 Sw Plass Ct, Suite D, Topeka, KS 66611-1925 | 2005-12-06 |
Street Address |
166 4TH ST. E. STE. 100 |
City | ST. PAUL |
State | MN |
Zip Code | 55101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831330851 | Lashonda Watts Soma | Radiology | 166 4th St. E., St. Paul, MN 55101 | 2009-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
Find all providers in zip 55101 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760429138 | Pamela J Wymore | Radiology | 166 4th Street E, St. Paul, MN 55101 | 2006-06-02 |
1326455239 | Justin Nelson | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2014-07-14 |
1750721593 | David Michael Miller | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-06-25 |
1679916423 | Leslie Teng | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-04-11 |
1609118710 | Matthew Stephen Manganaro | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-03-27 |
1326307760 | Zachary Brandon Royce | Radiology | 250 Thompson St., St. Paul, MN 55102-2370 | 2012-05-04 |
1033417571 | Jason John Carroll | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2011-03-08 |
1396972584 | Brendan M O'shea | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2009-06-16 |
1831330851 | Lashonda Watts Soma | Radiology | 166 4th St. E., St. Paul, MN 55101 | 2009-03-20 |
1467667774 | Craig Paul Rodriguez | Radiology | 250 Thompson St., St. Paul, MN 55102-2370 | 2007-05-11 |
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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.