Shea Outpatient Treatment Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SHEA OUTPATIENT TREATMENT CENTER

Practice address

8952 E Desert Cove Ave Ste 103
Scottsdale, AZ 85260-6776

Phone

(480) 935-0990

NPI assigned

Dec 26, 2019

Organization subpart

No

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

Authorized official

Name

Janice Bagley

Title

Office Manager

Phone

(480) 544-6432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1508405341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 E DESERT COVE AVE STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606776",
            "telephone_number": "480-935-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 E DESERT COVE AVE STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606776",
            "telephone_number": "480-935-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA OUTPATIENT TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-544-6432"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayya LLC
• Luay Shayya, M.D.
• Bonnie Shcolnik, PH. D
• Shea Anesthesia Professionals LLC
• Shea Medical Group, LLC
• Shea Pediatrics PC
• Shea Pediatrics PC
• Shea Specialty Surgery LLC
• Shea Surgical Center LLC
• Shea Urgent Care LLC

• Pain Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pain Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.