Provider Demographics
NPI:1831172469
Name:BURICK, SHEILA M (MD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:M
Last Name:BURICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:724-658-4564
Mailing Address - Fax:724-657-8563
Practice Address - Street 1:1112 S MILL ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-4629
Practice Address - Country:US
Practice Address - Phone:724-658-4564
Practice Address - Fax:724-657-8563
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042518L208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012294800008Medicaid
PAE68120Medicare UPIN
PA644292RN0Medicare PIN