MEDICARE: SARAH SHELDON

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	390200000X	Student in an Organized Health Care Education/Training Program
2	2084N0400X	Neurology Physician	34.017872	OH

General Provider Information

NPI Number	:	1689255416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SHELDON

Provider Business Mailing Address
First Line	:	2300 MIAMI VALLEY DR STE 550
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-1298
Country	:	US
Telephone Number	:	937-438-7500
Fax Number	:	937-438-7560

Provider Business Practice Location Address
First Line	:	2300 MIAMI VALLEY DR STE 550
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-1298
Country	:	US
Telephone Number	:	937-438-7500
Fax Number	:	937-438-7560

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

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	07/03/2025

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Directions to “ SARAH SHELDON ” Practice Location

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