Provider Demographics
NPI:1659358190
Name:SHEFFEY, DAVID WARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WARREN
Last Name:SHEFFEY
Suffix:
Gender:M
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:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:12222 MERIT DR STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-3294
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8412207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130437012Medicaid
TX8EH357OtherBCBS
TXP01356067OtherRR
TXP01356067OtherRR
TX130437012Medicaid
TX89053KMedicare PIN
TX89195KMedicare PIN
TX8994B8Medicare PIN
TX130437010OtherMEDICAID CSHCN
C21707Medicare UPIN
TX89195KMedicare PIN
TX85097KOtherBCBS
TX85097KMedicare PIN
TX130437008Medicaid
TXTXB101798Medicare PIN