Provider Demographics
NPI:1093783672
Name:SHEFFIELD, PAUL E (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1109
Mailing Address - Country:US
Mailing Address - Phone:334-293-8000
Mailing Address - Fax:334-557-1057
Practice Address - Street 1:2024 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1111
Practice Address - Country:US
Practice Address - Phone:334-440-3061
Practice Address - Fax:334-557-1057
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL45182207Q00000X
MS09184207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00113398Medicaid
MS753068151Other1ST CHOICE
MS753068151OtherMS HEALTH PARTNERS
MS168390702OtherUS DEPT OF LABOR
MS753068151OtherMS PHYSICIANS CARE NETWOR
MS753068151008OtherTRICARE
MSP0026770OtherRR MEDICARE
MS4274983OtherAETNA
MSP0026770OtherRR MEDICARE
MS168390702OtherUS DEPT OF LABOR
MS80004162Medicare ID - Type Unspecified
MS753068151Other1ST CHOICE