Basic Information
| Provider Information | |||||||||
| NPI: | 1114967940 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DAVID R SHEBA DO PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 WAYLAND SMITH DR | ||||||||
| Address2: | SUITE A | ||||||||
| City: | UNIONTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 154012677 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244378200 | ||||||||
| FaxNumber: | 7244376673 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 WAYLAND SMITH DR | ||||||||
| Address2: | SUITE A | ||||||||
| City: | UNIONTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 154012677 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244378200 | ||||||||
| FaxNumber: | 7244376673 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SHEBA | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7244378200 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | OSO10253L | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.