Richard P Shaughnessy, IV D.O. PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

3911 Issued in AZ

Legal business name

RICHARD P SHAUGHNESSY, IV D.O. PLLC

Practice address

1300 N 12TH St
#603
Phoenix, AZ 85006-2848

Phone

(602) 254-6686

Fax

(602) 254-4258

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Deanne M Vanausdal

Title

Office Manager

Phone

(602) 254-6686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1740403013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "#603",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-254-6686",
            "fax_number": "602-254-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "#603",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-254-6686",
            "fax_number": "602-254-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P SHAUGHNESSY, IV D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "VANAUSDAL",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-254-6686"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Holley, DDS, PC
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• Richard H Daley, MD,PC
• Richard J Harding MD PC
• Richard Lee Averitte Jr PLLC
• Richard W. Morrison, M.D., P.C.
• Richard Wolfson, PC
• Janet Jo Richard, NP
• Jason Richard, D.O.
• Laura Gonzales Richard, PMHNP

• Gastroenterology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.