Provider Demographics
NPI:1215290515
Name:SHEFFIELD, DANIEL CALEB (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CALEB
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 WINTERGREEN LANE
Mailing Address - Street 2:STE 100
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110
Mailing Address - Country:US
Mailing Address - Phone:206-201-0488
Mailing Address - Fax:206-201-0490
Practice Address - Street 1:1344 WINTERGREEN LANE
Practice Address - Street 2:STE 100
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110
Practice Address - Country:US
Practice Address - Phone:206-201-0488
Practice Address - Fax:206-201-0490
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO176813207P00000X
CA14911207P00000X
WAOP60645667207P00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2061220Medicaid