Provider Demographics
NPI:1871592808
Name:SHELDON, DAVID K (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:SHELDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2401 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-3428
Practice Address - Country:US
Practice Address - Phone:765-747-3241
Practice Address - Fax:765-281-6567
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01046199A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00841083OtherRAILROAD MEDICARE
IN200183020Medicaid
IN200183020AMedicaid
IN000000082499OtherBLUE CROSS/BLUE SHIELD
INP00775319OtherRAILROAD MEDICARE
IN000000658226OtherANTHEM BC/BS
IN000000626175OtherANTHEM BC/BS
IN261920PMedicare PIN
INP00841083OtherRAILROAD MEDICARE
INP00775319OtherRAILROAD MEDICARE
IN000000626175OtherANTHEM BC/BS
INM400058138Medicare PIN
IN265520GMedicare PIN