Shirley Jeanette Sheinkopf, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10039 Issued in AZ

Practice address

5406 W Glenn Dr
#6
Glendale, AZ 85301-2662

Phone

(623) 934-0245

Fax

(623) 934-0428

NPI assigned

Aug 25, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shirley Jeanette Sheinkopf Professional name

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 Medicine

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.

• Sterns Pediatric Clinic,LTD.

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1124011077
  NPD (past) Authorized official

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306839261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 W GLENN DR",
            "address_2": "#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": "#6",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012662",
            "telephone_number": "623-934-0245",
            "fax_number": "623-934-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEINKOPF",
        "first_name": "SHIRLEY",
        "middle_name": "JEANETTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "10039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "SHEINKOPF",
            "middle_name": "JEANETTE",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel Kara Jolley Shaw, D.M.D.
• Megan Kathleen Shearer, MS CCC-SLP
• Bruce F. Sheehy
• Eva Sheena, DOCTOR OF PHARMACY
• Imran R Sheikh, MD
• Sheitelman Medical Glendale
• Jamie Sheldon, RPH
• Sindy L Sheldon, NP-C
• Tina L Shelledy, LPN
• Shelley S Kaufman PC

• Pediatrics Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.