Organization Active NPI

Shedoc, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1154508273
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26877 Issued in AZ
Legal business name
SHEDOC, PLLC
Practice address
14435 N 7TH St Ste 300B
Phoenix, AZ 85022-4385
Phone
(928) 774-3373
Fax
(928) 213-9206
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Dr. Patricia Louise Clarke, M.D.NPI 1073556379
Title
Owner
Phone
(928) 774-3373

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 26877 AZ Primary

Addresses

Primary practice location

14435 N 7TH St Ste 300B
Phoenix, AZ 85022-4385

Mailing address

14435 N 7TH St Ste 300B
Phoenix, AZ 85022-4385
Phone (928) 774-3373

National Provider Directory

National Provider Directory

Locations

14435 N 7th St
Ste 300B
Phoenix, AZ 85022
Phone (928) 774-3373

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1154508273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 N 7TH ST STE 300B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224385",
            "telephone_number": "928-774-3373",
            "fax_number": "928-213-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 N 7TH ST STE 300B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224385",
            "telephone_number": "928-774-3373",
            "fax_number": "928-213-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEDOC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-774-3373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "26877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.