Provider Demographics
NPI:1316932098
Name:MCNEAL, SHEILLA D (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILLA
Middle Name:D
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 W HIGH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3971
Mailing Address - Country:US
Mailing Address - Phone:419-222-4045
Mailing Address - Fax:419-228-5665
Practice Address - Street 1:830 W HIGH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3971
Practice Address - Country:US
Practice Address - Phone:419-222-4045
Practice Address - Fax:419-228-5665
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350757312080P0204X, 208M00000X
OH35075731M208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2414864OtherUNITED HEALTHCARE
OH000000126833OtherANTHEM BENEFITS SERVICES
OH7101509OtherAETNA
OH2421329Medicaid
OH000000311937OtherANTHEM BC/BS
OH4138412Medicare PIN