Simon Sheard, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R1815 Issued in AZ

Practice address

8380 S Kyrene Rd # D-103
Tempe, AZ 85284-2120

Phone

(480) 269-3208

Fax

(480) 674-1295

NPI assigned

Jul 8, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Hospitalist

Education

Arizona College of Osteopathic Medicine Mid Western University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creosote Total Health PC

  dba Creosote Total Health

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1043928476
  Medicare reassignment NPD Authorized official
• Creosote Psychiatry PLC

  dba Creosote Total Health

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1164138079
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1083926877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 S KYRENE RD STE D-103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842120",
            "telephone_number": "480-269-3208",
            "fax_number": "480-674-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 S KYRENE RD # D-103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842120",
            "telephone_number": "480-269-3208",
            "fax_number": "480-674-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARD",
        "first_name": "SIMON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R1815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R1815",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Shaver
• Shaw Care Homes, LLC
• Kimberly Marie Shaw, PHARMD
• Melissa Carol Shaw, MA, LPC
• Shawn B Summers MD PLLC
• Heather R Sheckler, PHARMD
• Patrick Sheehan
• Elizabeth Suzanne Sheldon, RN
• Kayla Marie Shelley
• Jennifer Shelton, CERT SCHOOL PSYCH

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.