Provider Demographics
NPI:1083836563
Name:DRISCOLL, ELIZABETH BARRON SHEFFEY (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BARRON SHEFFEY
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51947
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-1947
Mailing Address - Country:US
Mailing Address - Phone:865-588-0880
Mailing Address - Fax:
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:BOX U109
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-588-0880
Practice Address - Fax:865-584-3111
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26874207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051548585OtherBCBS
AL051548586OtherBCBS
AL101687Medicaid
AL101690Medicaid
AL051548583OtherBCBS
AL051548584OtherBCBS
AL101688Medicaid
AL101689Medicaid
ALP00636257OtherRAILROAD MEDICARE
MS07500551Medicaid
AL051548585OtherBCBS