Active NPI
Shawn M. Cazzell DPM Inc
- Podiatrist
- Fresno, CA
National Provider Identifier
1528516291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- SHAWN M. CAZZELL DPM INC
- Practice address
- 6215 N Fresno St
Ste 108
Fresno, CA 93710-5267 - Phone
- (559) 256-9600
- Fax
- (559) 489-0498
- NPI assigned
- Sep 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seda Gerstl
- Title
- Credentialing
- Phone
- (904) 302-6983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
6215 N Fresno St
Ste 108
Fresno, CA 93710-5267
Mailing address
6215 N Fresno St
Ste 108
Fresno, CA 93710-5267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6215 N Fresno St
Fresno, CA 93710
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Fresno, CA
- NPI 1629392568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1528516291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 N FRESNO ST",
"address_2": "STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 N FRESNO ST",
"address_2": "STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105267",
"telephone_number": "559-256-9600",
"fax_number": "559-489-0498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWN M. CAZZELL DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-12",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "GERSTL",
"authorized_official_first_name": "SEDA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "904-302-6983"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.