MEDICARE: DR. DONALD JAMES SHEFFEL 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	207X00000X	Orthopaedic Surgery Physician	C0176830	CA
2	207X00000X	Orthopaedic Surgery Physician	6577	OK

General Provider Information

NPI Number	:	1780676064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD JAMES SHEFFEL MD

Provider Business Mailing Address
First Line	:	PO BOX 1287
Second Line	:
City	:	FORT BRAGG
State	:	CA
Zip	:	95437-1287
Country	:	US
Telephone Number	:	707-937-1614
Fax Number	:	707-937-2326

Provider Business Practice Location Address
First Line	:	45401 DRIFTERS REEF
Second Line	:
City	:	MENDOCINO
State	:	CA
Zip	:	95460
Country	:	US
Telephone Number	:	707-937-1614
Fax Number	:	707-937-2326

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/08/2007

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