NPIMap

Organization Active NPI

Greenway Urgent Care LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1629034210
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC3147 Issued in AZ
Legal business name
GREENWAY URGENT CARE LLC
Practice address
3229 E Greenway Rd
Phoenix, AZ 85032-4508
Phone
(480) 776-1588
Fax
(602) 788-3284
NPI assigned
Apr 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. John Shufeldt Jr., M.DNPI 1114955440
Title
Ceo
Phone
(480) 924-8382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC3147 AZ Primary

Addresses

Primary practice location

3229 E Greenway Rd
Phoenix, AZ 85032-4508

Mailing address

1710 Thistle Rd
Flagstaff, AZ 86004-7739
Phone (928) 522-8006

Other identifiers 2

IdentifierTypeStateIssuer
707771MedicaidAZ
CK7981OtherCORAILROAD MEDICARE

Other names 1

  • NextCare Doing business as

National Provider Directory

National Provider Directory

Locations

3229 E Greenway Rd
Phoenix, AZ 85032

Practitioners 165

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

View all 165

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1629034210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 THISTLE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047739",
            "telephone_number": "928-522-8006",
            "fax_number": "928-522-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 E GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324508",
            "telephone_number": "480-776-1588",
            "fax_number": "602-788-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "SHUFELDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-924-8382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707771",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK7981",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NextCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.