MEDICARE: DR. SHELDON FLEISHMAN D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	000356	MO

General Provider Information

NPI Number	:	1245234640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELDON FLEISHMAN D.P.M.

Provider Business Mailing Address
First Line	:	1050 S OUTER RD
Second Line	:	SUITE 100
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-3071
Country	:	US
Telephone Number	:	816-228-9393
Fax Number	:	819-228-5462

Provider Business Practice Location Address
First Line	:	1050 S OUTER RD
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-3064
Country	:	US
Telephone Number	:	816-228-9393
Fax Number	:	819-228-5462

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	05/18/2011

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