Shea Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

24040 Issued in AZ

Legal business name

SHEA PEDIATRICS PC

Practice address

8952 E Desert Cove Dr Ste 110
Scottsdale, AZ 85260-6776

Phone

(480) 767-3169

Fax

(480) 767-0963

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Duc C Vo, M.D.

Title

Medical Director

Phone

(480) 767-3169

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Reema Rayan Baydoun, PA-C

  • Physician Assistant
  • Plantation, FL
  • NPI 1851692388
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1659489193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 E DESERT COVE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606776",
            "telephone_number": "480-767-3169",
            "fax_number": "480-767-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 E DESERT COVE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606776",
            "telephone_number": "480-767-3169",
            "fax_number": "480-767-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-767-3169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24040",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "24040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793861",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Shcolnik, PH. D
• Shea Anesthesia Professionals LLC
• Shea Medical Group, LLC
• Shea Outpatient Treatment Center
• Shea Pediatrics PC
• Shea Specialty Surgery LLC
• Shea Surgical Center LLC
• Shea Urgent Care LLC
• Shea Womens Care PC
• Ryan Matthew Sheade, LCSW

• Pediatrics Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.