Active NPI
Shem Altman, M.D.
- Chemical Pathology Physician
- Scottsdale, AZ
National Provider Identifier
1023232014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chemical Pathology Physician
- License
- 34477
- Practice address
- 10505 N 69TH St
Suite 600
Scottsdale, AZ 85253-4532 - Phone
- (480) 629-4008
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chemical Pathology Physician | 207ZP0104X | 34477 | AZ | Primary |
Addresses
Primary practice location
10505 N 69TH St
Suite 600
Scottsdale, AZ 85253-4532
Mailing address
10505 N 69TH St
Suite 600
Scottsdale, AZ 85253-4532
Phone (480) 629-4008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 21, 2015 through Aug 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34477 | AZ | MD | Chemical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1023232014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 N 69TH ST",
"address_2": "SUITE 600",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852534532",
"telephone_number": "480-629-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10505 N 69TH ST",
"address_2": "SUITE 600",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852534532",
"telephone_number": "480-629-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "SHEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "AZ",
"license": "34477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.