Provider Demographics
NPI:1134749856
Name:SHEFFLER, ZACHARY MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:MICHAEL
Last Name:SHEFFLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 PARK MANOR BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-4819
Mailing Address - Country:US
Mailing Address - Phone:412-749-6920
Mailing Address - Fax:412-749-6779
Practice Address - Street 1:2201 PARK MANOR BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4819
Practice Address - Country:US
Practice Address - Phone:412-749-6920
Practice Address - Fax:412-749-6779
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS022921207Q00000X
PAOT019878390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty