MEDICARE: SHARON KAY MCELHINNEY DO

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	208000000X	Pediatrics Physician	02455	IA

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	034796	OTHER		HEALTH ALLIANCE
3	19909	OTHER		IOWA HEALTH SOLUTIONS
4	29771	OTHER	IA	WELLMARK BC/BS
5	IA0127	OTHER		JOHN DEERE HEALTH PLAN

General Provider Information

NPI Number	:	1659376556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON KAY MCELHINNEY DO

Provider Business Mailing Address
First Line	:	3200 W KIMBERLY ROAD
Second Line	:	DAVENPORT HEALTHPLEX, PEDS
City	:	DAVENPORT
State	:	IA
Zip	:	52806
Country	:	US
Telephone Number	:	563-421-0010
Fax Number	:	563-421-0009

Provider Business Practice Location Address
First Line	:	3200 W KIMBERLY ROAD
Second Line	:	DAVENPORT HEALTHPLEX, PEDS
City	:	DAVENPORT
State	:	IA
Zip	:	52806
Country	:	US
Telephone Number	:	563-421-0010
Fax Number	:	563-421-0009

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	05/06/2021

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