NPIMap

Organization Active NPI

Shea Pediatrics PC

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1659489193
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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.NPI 1871554006
Title
Medical Director
Phone
(480) 767-3169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 24040 AZ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 24040 AZ Primary

Addresses

Primary practice location

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

Mailing address

8952 E Desert Cove Dr Ste 110
Scottsdale, AZ 85260-6776
Phone (480) 767-3169

National Provider Directory

National Provider Directory

Locations

8952 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 614-3535

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "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 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.