Provider Demographics
NPI:1598859845
Name:SHEILS, LUCY ASHLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:ASHLEY
Last Name:SHEILS
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 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-922-0553
Mailing Address - Fax:585-922-4128
Practice Address - Street 1:1425 PORTLAND AVE
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3001
Practice Address - Country:US
Practice Address - Phone:585-922-4121
Practice Address - Fax:585-922-4128
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192468207R00000X
NY192468-1207ZP0102X, 207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00160670OtherRAILROAD MEDICARE
NYCC5154Medicare ID - Type Unspecified
NYP00160670OtherRAILROAD MEDICARE
NYCC0032Medicare ID - Type Unspecified