Provider Demographics
NPI:1558397216
Name:MCFAYDEN EYO, SHARON ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANDREA
Last Name:MCFAYDEN EYO
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 1:1205 PEMBERTON DR
Mailing Address - Street 2:STE 102
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2483
Mailing Address - Country:US
Mailing Address - Phone:410-749-8300
Mailing Address - Fax:410-860-9007
Practice Address - Street 1:1205 PEMBERTON DR
Practice Address - Street 2:STE 102
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2483
Practice Address - Country:US
Practice Address - Phone:410-749-8300
Practice Address - Fax:410-860-9007
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052347208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
331015896OtherINFORMED
19208OtherPRIORITY PARTNERS
54630302OtherCAREFIRST BCBS OF MARYLAN
181300OtherCOVENTRY
331015896OtherBCBS OF DELAWARE
S4610001OtherCAREFIRST BLUECHOICE
331015896OtherTRICARE
S4610001OtherBCBS FEDERAL
MD797900200Medicaid
19208OtherJOHN HOPKINS LLC EHP
331015896OtherACORDIA NATIONAL PERDUE
331015896OtherHUMANA
998471OtherAETNA HMO
331015896OtherNCPPO
5171584OtherAETNA NON HMO
G50798Medicare UPIN