Provider Demographics
NPI:1568429926
Name:SHEFFIELD, JEANNE S (MD)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:S
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:LORRAINE
Other - Last Name:STEINBRONN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 64313
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4313
Mailing Address - Country:US
Mailing Address - Phone:410-955-8496
Mailing Address - Fax:410-614-8305
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:PHIPPS203
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-8496
Practice Address - Fax:410-614-8305
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4241207VM0101X, 207SG0201X
MDD80623207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD103497900Medicaid
TX119174402Medicaid
TX119174403Medicaid
TX119174402Medicaid