Provider Demographics
NPI:1659348530
Name:SHEEHY, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:SHEEHY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:978-466-3212
Mailing Address - Fax:978-534-3581
Practice Address - Street 1:165 MILL ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453
Practice Address - Country:US
Practice Address - Phone:978-466-3212
Practice Address - Fax:978-534-3581
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2009-02-25
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA73158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
27065OtherHEALTHY START
1150365OtherFIRST HEALTH
MA3100189Medicaid
AA1274OtherHARVARD PILGRIM HEALTHCAR
J12759OtherBLUE SHIELD HMO BLUE
110175369OtherRAILROAD MEDICARE
7708319OtherAETNA US HEALTHCARE
784193OtherMVP HEALTH CARE
J12759OtherBLUE CARE ELECT
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherHEALTHCARE VALUE
0401701OtherEVERCARE
042472266OtherTHREE RIVERS
2270610OtherCIGNA HEALTH PLAN
27065OtherCHILDRENS MEDICAL SECURIT
9900147OtherFALLON COMMUNITY HEALTH
J12759OtherBLUE SHIELD INDEMNITY
0401701OtherEVERCARE
J12759OtherBLUE SHIELD INDEMNITY