Provider Demographics
NPI:1659376556
Name:MCELHINNEY, SHARON KAY (DO)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:MCELHINNEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:KAY
Other - Last Name:DYKSTRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:3200 W KIMBERLY ROAD
Mailing Address - Street 2:DAVENPORT HEALTHPLEX, PEDS
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806
Mailing Address - Country:US
Mailing Address - Phone:563-421-0010
Mailing Address - Fax:563-421-0009
Practice Address - Street 1:3200 W KIMBERLY ROAD
Practice Address - Street 2:DAVENPORT HEALTHPLEX, PEDS
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806
Practice Address - Country:US
Practice Address - Phone:563-421-0010
Practice Address - Fax:563-421-0009
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02455208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA5066423Medicaid
034796OtherHEALTH ALLIANCE
19909OtherIOWA HEALTH SOLUTIONS
IA29771OtherWELLMARK BC/BS
IA0127OtherJOHN DEERE HEALTH PLAN
IAI3108Medicare PIN
E67812Medicare UPIN