SH Operating LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

SH OPERATING LLC

Practice address

17500 N Perimeter Dr
Scottsdale, AZ 85255-7808

Phone

(480) 586-2300

Fax

(480) 586-2221

NPI assigned

Jan 16, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Patrice Mousseau, RN

Title

Administrator

Phone

(714) 809-1450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Freedom Pain Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 030135

Legal name

FREEDOM PAIN HOSPITAL

Certification status

Terminated Involuntary: failure to meet health/safety requirements, Apr 30, 2015

Provider type (POS)

Hospital – Short-term

Participating since

May 29, 2014

Last certification

May 29, 2014

Beds

12

Ownership / control type

Private (for profit)

Facility address

17500 North Perimeter Drive
Scottsdale, AZ 85255

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Mark Siwek, MD

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1932204435
  NPD (past)

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1376814889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557808",
            "telephone_number": "480-586-2300",
            "fax_number": "480-586-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557808",
            "telephone_number": "480-586-2300",
            "fax_number": "480-586-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "MOUSSEAU",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-809-1450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "980987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Pain Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Rae Sevier, PTA COTA
• Baylee Rain Sexton, LAC
• Donal Sexton, M.D.
• Andrew Seymour
• Karly Kristine Sgambati, PT
• Angela Shaba
• Phdra N Shaba, O.D.
• Edward Odeshoo Shabez, NMD
• Rick A Shacket, DO MD H
• Kayla Shackleton, PA

• Special Hospital in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Special Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.