Individual
TRACY SHEVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
(203) 276-7060
Mailing address
MATERNAL FETAL MEDICINE OBGYN/NORTHWELL HEALTH, 480 BEDFORD RD, CHAPPAQUA, NY 10514
(914) 458-8800
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
042137
CT
207VG0400X
Gynecology Physician
211664
NY
207VM0101X
Maternal & Fetal Medicine Physician
042137
CT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
211664
NY
207VX0000X
Obstetrics Physician
042137
CT
207VX0000X
Obstetrics Physician
211664
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010042137CT01
ANTHEM BC/BS
CT
01
—
2V4608
HEALTH NET
CT
01
—
3536566
AETNA
CT
01
—
4605229
CIGNA
CT
01
—
729E01
EMPIRE BC/BS
CT
01
—
855116
CONNECTICARE
CT
01
—
P3232398
OXFORD HEALTH PLAN
CT
01
—
TIN
MULTIPLAN
CT
Enumeration date
08/11/2006
Last updated
05/11/2021
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