Provider Demographics
NPI:1245234640
Name:FLEISHMAN, SHELDON (DPM)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:
Last Name:FLEISHMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 S OUTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3071
Mailing Address - Country:US
Mailing Address - Phone:816-228-9393
Mailing Address - Fax:819-228-5462
Practice Address - Street 1:1050 S OUTER RD
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-3064
Practice Address - Country:US
Practice Address - Phone:816-228-9393
Practice Address - Fax:819-228-5462
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000356213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery