MEDICARE: PAUL E SHEFFIELD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	45182	AL
2	207Q00000X	Family Medicine Physician	09184	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P0026770	OTHER	MS	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	753068151	OTHER	MS	1ST CHOICE
3	753068151	OTHER	MS	MS HEALTH PARTNERS
4	168390702	OTHER	MS	US DEPT OF LABOR
5	753068151	OTHER	MS	MS PHYSICIANS CARE NETWOR
6	753068151008	OTHER	MS	TRICARE
8	4274983	OTHER	MS	AETNA

General Provider Information

NPI Number	:	1093783672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL E SHEFFIELD MD

Provider Business Mailing Address
First Line	:	1725 PINE ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1109
Country	:	US
Telephone Number	:	334-293-8000
Fax Number	:	334-557-1057

Provider Business Practice Location Address
First Line	:	2024 CHESTNUT ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1111
Country	:	US
Telephone Number	:	334-440-3061
Fax Number	:	334-557-1057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	11/21/2023

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Directions to “ PAUL E SHEFFIELD MD” Practice Location

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