Provider Demographics
NPI:1265648109
Name:SHEEDY, MATTHEW R (DPM)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:R
Last Name:SHEEDY
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 1:1 VANDERBILT PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1768
Mailing Address - Country:US
Mailing Address - Phone:828-277-8042
Mailing Address - Fax:828-277-8046
Practice Address - Street 1:1 VANDERBILT PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1768
Practice Address - Country:US
Practice Address - Phone:828-277-8042
Practice Address - Fax:828-277-8046
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC674213E00000X, 213ES0103X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery