Healthcare Provider Details

I. General information

NPI: 1538546270
Provider Name (Legal Business Name): ANDREW SHEEN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2015
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

IV. Provider business mailing address

1111 E MCDOWELL RD BLDG A2ND
PHOENIX AZ
85006-2612
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-4500
  • Fax:
Mailing address:
  • Phone: 602-839-6690
  • Fax: 602-839-4138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License NumberOS019377
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS019377
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number011361
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: