Active NPI
Sterns Pediatric Clinic,LTD.
- Pediatrics Physician
- Glendale, AZ
National Provider Identifier
1124011077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- STERNS PEDIATRIC CLINIC,LTD.
- Practice address
- 5406 W Glenn Dr
Suite #6
Glendale, AZ 85301-2662 - Phone
- (623) 934-0245
- Fax
- (623) 934-0428
- NPI assigned
- Aug 25, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirley Jeanette Sheinkopf, M.D.
- Title
- President
- Phone
- (623) 934-0245
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | AZ | Primary |
Addresses
Primary practice location
5406 W Glenn Dr
Suite #6
Glendale, AZ 85301-2662
Mailing address
5406 W Glenn Dr
Suite #6
Glendale, AZ 85301-2662
Phone (623) 934-0245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272740 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
5406 W Glenn Dr
Ste 6
Glendale, AZ 85301
Phone (602) 394-0245
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Glendale, AZ
- NPI 1306839261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1124011077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5406 W GLENN DR",
"address_2": "SUITE #6",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012662",
"telephone_number": "623-934-0245",
"fax_number": "623-934-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5406 W GLENN DR",
"address_2": "SUITE #6",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012662",
"telephone_number": "623-934-0245",
"fax_number": "623-934-0428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STERNS PEDIATRIC CLINIC,LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SHEINKOPF",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "JEANETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-934-0245",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272740",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.