Active NPI
Mach 1 Medical LLC
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1730608977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.