Organization Active NPI

Robert Melvin Shull MD PC

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1639486814
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ROBERT MELVIN SHULL MD PC
Practice address
5315 E High St
Unit 410
Phoenix, AZ 85054-5438
Phone
(480) 478-6620
Fax
(480) 478-6628
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Robert Melvin Shull, MD
Title
Owner
Phone
(480) 478-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

5315 E High St
Unit 410
Phoenix, AZ 85054-5438

Mailing address

8422 E Shea Blvd
Ste. 103
Scottsdale, AZ 85260-6661
Phone (480) 478-6620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1639486814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 E SHEA BLVD",
            "address_2": "STE. 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606661",
            "telephone_number": "480-478-6620",
            "fax_number": "480-478-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 E HIGH ST",
            "address_2": "UNIT 410",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545438",
            "telephone_number": "480-478-6620",
            "fax_number": "480-478-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MELVIN SHULL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-478-6620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 9, 2010; 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.