Shawn Michael McCrum

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4260 Issued in AZ

Practice address

4545 E Chandler Blvd
Phoenix, AZ 85048-7643

Phone

(480) 728-4075

NPI assigned

Oct 23, 2006

Last updated

Jun 12, 2024By the provider in NPPES

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dignity Community Care

  dba Chandler Regional Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Medicare reassignment NPD
• Chandler Regional Medical Center

  dba CRMC Trauma Services

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1871910968
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1215010400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9492 E HILLERY WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602018",
            "telephone_number": "480-429-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487643",
            "telephone_number": "480-728-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRUM",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Anne McCreary, LCSW
• Satura McCree
• Amber McCrite, MOTR/L
• Ivan McCrum, MD
• Kathryn McCrum, RN
• William Travis McCuddy, PHD
• Andrew McCue, RVT, BS
• Monica McCue, LPC
• Rhonda N McCue, RN
• Dawn McCuin

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, 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 Jun 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.