SFC Shane

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

SFC SHANE

Practice address

460 E Osage Ave
1
Apache Junction, AZ 85119-3748

Phone

(480) 862-5741

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Shane M Elson, OWNER

Title

Long Term Care Provider

Phone

(480) 862-5741

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1508228701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11543 E DARTMOUTH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072355",
            "telephone_number": "480-862-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E OSAGE AVE",
            "address_2": "1",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851193748",
            "telephone_number": "480-862-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFC SHANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "ELSON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LONG TERM CARE PROVIDER",
        "authorized_official_telephone_number": "480-862-5741",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayne Scoffin
• Scott Miller, OD PLLC
• Guy Thomas Seavey, RPH
• John Jemujeff Chua Selga, DPT
• L. Stephanie Serra, LMFT
• Amelia Shah, PHARMD
• Cecilia M. Shaver
• Hunter Cole Sherlock, OD
• Seemeen Siddiqi, M.D.
• Heather Simons

• Exclusive Provider Organization in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.