Provider Demographics
NPI:1023106473
Name:RICE, SHEILA MARY (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:MARY
Last Name:RICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHEILA
Other - Middle Name:MARY
Other - Last Name:RICE DANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3755 ORANGE PLACE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:ORANGE VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4455
Mailing Address - Country:US
Mailing Address - Phone:440-653-8091
Mailing Address - Fax:440-653-8089
Practice Address - Street 1:36711 AMERICAN WAY STE A
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-4062
Practice Address - Country:US
Practice Address - Phone:440-653-8091
Practice Address - Fax:440-653-8089
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076192207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7471142OtherAETNA
OH000001076245OtherANTHEM
OH0492328Medicaid
OH2177399Medicaid
OHH485680OtherMEDICARE
OHP01827145OtherRAILROAD MEDICARE
OH000001076245OtherANTHEM
OH0492328Medicaid