Organization Active NPI

Shawn G Platt DO PLLC

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1366458036
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 7, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.