DR. SHEILA DILLARD (NPI# 1497808000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497808000 |
| Entity Type | Individual |
| Full Name | DR. SHEILA DILLARD |
| Credential | M.D. |
| Practice Address |
2809 Denny Ave Pascagoula MS 39581-5301 |
| Mailing Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Practice Telephone | 2285882938 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 27807 | WV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 56006 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R7982 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 63182 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036.144854 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MED-PHYS-L | MT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | CDR.00000037 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 17501 | NV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 55309 | AZ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 151474 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 15-320 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 04-40312 | KS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD-44552 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 16435 | MS | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 21294 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0120851 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093997587 | Sheila White Dillard | Counselor | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2007-11-27 |
| Street Address |
2809 DENNY AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316032 | Debby Ann Koffskey-beech | Social Worker | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2005-09-15 |
| 1356941397 | Lindsey Nicole Mcfaul | Registered Nurse | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-10-28 |
| 1457958910 | Courtney Tucker | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-10-07 |
| 1811502628 | Hillary Paige Weaver | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-09-09 |
| 1316559891 | Ashley Ann Gaffney | Registered Nurse | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-08-17 |
| 1851938898 | Singing River Health System | Pharmacy | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-12-10 |
| 1295379741 | Shelby Alexis Parker | Speech-Language Pathologist | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-10-28 |
| 1366083040 | Kyla Austin Richburg | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5300 | 2019-10-03 |
| 1124586086 | Anganatte Nicole Williams | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-03-08 |
| 1205394442 | Kyrissa Malley | Dietitian, Registered | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1134155732 | Pascagoula Family Practice Clinic Pllc | Family Medicine | Ste 202, 4211 Hospital Street, Pascagoula, MS 39581-5310 | 2006-06-24 |
| 1538148762 | Frank Orla Axelsen | Family Medicine | Naval Station Pascagoula, Naval Branch Health Clin, Building 30, Wisconsin Loop, Pascagoula, MS 39595-0001 | 2006-01-16 |
| 1770585630 | Robert L Donald IIi | Family Medicine | 2819 Denny Ave, Pascagoula, MS 39581-5301 | 2005-08-11 |
| 1710989678 | Teresa A Williamson | Family Medicine | 2819 Denny Ave., Pascagoula, MS 39581-5320 | 2005-08-11 |
| 1508353384 | Baz Family Medical Clinic | Family Medicine | 4310 Chicot St, Pascagoula, MS 39581-4700 | 2018-04-17 |
| 1336674803 | Matthew Bosarge | Family Medicine | 2819 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-21 |
| 1609322361 | Hajra Cheema | Family Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2016-08-31 |
| 1558666149 | Painstop Spine Clinic, LLC | Family Medicine | 3003 Shortcut Rd, Pascagoula, MS 39567-1810 | 2011-01-13 |
| 1023267630 | Kevin Scott Cooper | Family Medicine | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2008-09-18 |
| Find all providers in PASCAGOULA | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.