Active NPI
Sheldon I Levin, M.D.
- Anesthesiology Physician
- Flagstaff, AZ
National Provider Identifier
1407836786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35-05-1476L
- Practice address
- 77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479 - Phone
- (928) 773-2505
- Fax
- (928) 773-2504
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35-05-1476L | OH | Primary |
Addresses
Primary practice location
77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479
Mailing address
77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479
Phone (928) 773-2505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889203 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultant Anesthesiologists Inc | Past | Accepting new patients | |
| Deperro Plastic Surgery, LLC | Past | Accepting new patients | |
| Midwest Physician Anesthesia Services, Inc. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Westerville, OH
- NPI 1457420580
-
- Plastic Surgery Physician
- Columbus, OH
- NPI 1134573496
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1598703951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1407836786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W FOREST AVE",
"address_2": "SUITE 207",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011479",
"telephone_number": "928-773-2505",
"fax_number": "928-773-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W FOREST AVE",
"address_2": "SUITE 207",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011479",
"telephone_number": "928-773-2505",
"fax_number": "928-773-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "SHELDON",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35-05-1476L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889203",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.