Provider Demographics
NPI:1285638528
Name:SHEIFER, STUART E (MD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:E
Last Name:SHEIFER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 TELESTAR CT.
Mailing Address - Street 2:#300
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1263
Mailing Address - Country:US
Mailing Address - Phone:703-591-1688
Mailing Address - Fax:703-591-1445
Practice Address - Street 1:1900 GALLOWS RD STE 110
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-4098
Practice Address - Country:US
Practice Address - Phone:703-281-1265
Practice Address - Fax:703-255-0571
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101056697207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA060059617OtherRAILROAD MEDICARE VA #
DC060059616OtherRAILROAD MEDICARE DC #
VA1285638528Medicaid
DC031749900Medicaid
MD699252800Medicaid
VAH11986Medicare UPIN
VA1285638528Medicaid
MD699252800Medicaid
VA5838185Medicaid
VAH11986Medicare UPIN
MD699252800Medicaid