Organization Active NPI

Mach 1 Medical LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1730608977
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MACH 1 MEDICAL LLC
Practice address
3400 E Sky Harbor Blvd
Phoenix, AZ 85034-4403
Phone
(480) 344-5552
Fax
(480) 247-6482
NPI assigned
Sep 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Authorized official

Name
John Shufeldt, MD
Title
Owner
Phone
(480) 247-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3400 E Sky Harbor Blvd
Phoenix, AZ 85034-4403

Mailing address

7332 E Butherus Dr
Scottsdale, AZ 85260-2426
Phone (480) 344-5552

Other names 1

  • US CareWays Doing business as

National Provider Directory

National Provider Directory

Locations

7332 E Butherus Dr
Scottsdale, AZ 85260
Phone (813) 777-6453

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1730608977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 E BUTHERUS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602426",
            "telephone_number": "480-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E SKY HARBOR BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344403",
            "telephone_number": "480-344-5552",
            "fax_number": "480-247-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACH 1 MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "SHUFELDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-247-6482",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US CareWays",
            "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 Sep 19, 2017; 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.