Organization Active NPI

Sterns Pediatric Clinic,LTD.

  • Pediatrics Physician
  • Glendale, AZ
National Provider Identifier
1124011077
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Shirley Jeanette Sheinkopf, M.D.NPI 1306839261
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
272740MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.