Provider Demographics
NPI:1023059227
Name:SHEETS, JARED A (MD)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:A
Last Name:SHEETS
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 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-589-3100
Mailing Address - Fax:740-589-3127
Practice Address - Street 1:2131 EAST STATE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-1334
Practice Address - Country:US
Practice Address - Phone:740-589-3100
Practice Address - Fax:740-589-3127
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.075159207R00000X
OH35-07-5159207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1806246000Medicaid
OH2275185Medicaid
OH310917085133OtherCARESOURCE MEDICAID
OH000000181851OtherUNISON MEDICAID
OH2275185OtherMOLINA MEDICAID
P00278239OtherRR MEDICARE
000000374686OtherANTHEM BCBS
OH2275185Medicaid
OH2275185OtherMOLINA MEDICAID