Active NPI
Shawn G Platt DO PLLC
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1366458036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SHAWN G PLATT DO PLLC
- Practice address
- 2828 N Stone Ave
Tucson, AZ 85705-4503 - Phone
- (520) 622-4580
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen L Ridenour, FNP
- Title
- Owner
- Phone
- (520) 622-4580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2828 N Stone Ave
Tucson, AZ 85705-4503
Mailing address
2828 N Stone Ave
Tucson, AZ 85705-4503
Phone (520) 622-4580
Other names 1
- Cornerstone Health and Family Practice
National Provider Directory
National Provider DirectoryLocations
2828 N Stone Ave
Tucson, AZ 85705
Phone (520) 622-4580
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": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1366458036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 N STONE AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857054503",
"telephone_number": "520-622-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N STONE AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857054503",
"telephone_number": "520-622-4580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWN G PLATT DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "RIDENOUR",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-622-4580",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Health and Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.