Individual provider Active NPI

Floyd Franklin Shewmake Jr., M.D.

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1629467360
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
27431 Issued in AZ
Practice address
9270 N 99TH Way
Scottsdale, AZ 85258-5635
Phone
(480) 767-1715
Fax
(480) 767-2547
NPI assigned
Jan 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 27431 AZ Primary

Addresses

Primary practice location

9270 N 99TH Way
Scottsdale, AZ 85258-5635

Mailing address

9270 N 99TH Way
Scottsdale, AZ 85258-5635
Phone (480) 767-1715

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27431AZMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1629467360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9270 N 99TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585635",
            "telephone_number": "480-767-1715",
            "fax_number": "480-767-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9270 N 99TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585635",
            "telephone_number": "480-767-1715",
            "fax_number": "480-767-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWMAKE",
        "first_name": "FLOYD",
        "middle_name": "FRANKLIN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "27431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.