Provider Demographics
NPI:1922054972
Name:SHEFFIELD, MATTHEW VINSON (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:VINSON
Last Name:SHEFFIELD
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 1:1528 CARRAWAY BLVD
Mailing Address - Street 2:ATTN: CREDENTIALING DEPARTMENT
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35234-1998
Mailing Address - Country:US
Mailing Address - Phone:205-250-6851
Mailing Address - Fax:205-250-6819
Practice Address - Street 1:1528 CARRAWAY BLVD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35234-1998
Practice Address - Country:US
Practice Address - Phone:205-502-6206
Practice Address - Fax:205-502-5773
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23335207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051526953Medicaid
AL051526953Medicare ID - Type Unspecified
AL051526953Medicaid