Provider Demographics
NPI:1134158306
Name:OBERFELD, SHELDON MITCHELL (MD)
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:MITCHELL
Last Name:OBERFELD
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 1:6770 MAYFIELD RD
Mailing Address - Street 2:SUITE 326
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:440-461-4733
Mailing Address - Fax:440-461-4049
Practice Address - Street 1:6770 MAYFIELD RD
Practice Address - Street 2:SUITE 326
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2299
Practice Address - Country:US
Practice Address - Phone:440-461-4733
Practice Address - Fax:440-461-4049
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056685207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0703804Medicaid
OH7412541Medicare PIN
OHA17454Medicare UPIN
OH0616416Medicare PIN