| NPI | 1164410353 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-10-11 |
| Last Updated | 2019-07-29 |
| Mailing Address | 1202 E Main St Willow Springs, MO 65793-3588 United States Phone: (417) 469-1820 📍 View Map |
| Primary Practice Address | 1202 E Main St Willow Springs, MO 65793-3588 United States Phone: (417) 469-1820 | Fax: (417) 469-5280 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 100131490B | - |
| MEDICAID | MO | 1164410353 | - |
| MEDICAID | AR | 177582003 | - |
| Other (non-Medicare) | - | 431560263 | TriCare West |
| Other (non-Medicare) | OK | 500522075 | MEDICARE GROUP PIN |
| Other (non-Medicare) | MO | P00724816 | RailRoad Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | OK | 3619 |
| Yes | 207Q00000X – Family Medicine | MO | 2009010253 |
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About NPI 1164410353
Deborah Lou Sheehan DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164410353. The primary specialty listed is Family Medicine. The provider is located in Willow Springs, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164410353?
NPI 1164410353 belongs to Deborah Lou Sheehan DO, a Family Medicine in Willow Springs, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164410353 active?
The current status of NPI 1164410353 in the NPPES registry is Active. The record was last updated on 2019-07-29.
What specialty is NPI 1164410353?
NPI 1164410353 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164410353?
You can verify NPI 1164410353 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164410353?
The primary practice address on file for NPI 1164410353 is 1202 E Main St, Willow Springs, MO 65793-3588. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164410353 issued?
NPI 1164410353 was first issued (enumerated) on 2005-10-11. The NPPES record was last updated on 2019-07-29.
Practice Location Map
Deborah Lou Sheehan is located at 1202 E Main St, Willow Springs, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Deborah Lou Sheehan. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164410353. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 3619 | OK |
| Family Medicine | 2009010253 | MO |