Richard Allen Shildt, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

13485 Issued in OK

Practice address

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007

Phone

(623) 207-3390

Fax

(623) 932-8592

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Oklahoma Oncology & Hematology PC

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1295785392
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1154428795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 W CELEBRATE LIFE WAY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383007",
            "telephone_number": "623-207-3390",
            "fax_number": "623-932-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 W CELEBRATE LIFE WAY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383007",
            "telephone_number": "623-207-3390",
            "fax_number": "623-932-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILDT",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "13485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100209440B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Shepard III, MD MBA
• Sheridan Children'S Healthcare Services of Arizona, Inc.
• Laura K Sherman, M.D.
• Leah Raquel Sherman, N.D.
• Jennifer Sherrill, PHARMD
• April L Shinn, COTA
• Molly Shipman, DO
• Robert George Shupe, P.A.
• Brittany Sibbett, MOTR/L
• Sripriya Doss Sidh, M.D.

• Hematology & Oncology Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.