Organization Active NPI

Sheftel & Associates Dermatology, LLP

  • Specialist
  • Tucson, AZ
National Provider Identifier
1750380697
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SHEFTEL & ASSOCIATES DERMATOLOGY, LLP
Practice address
1595 E River Rd
Suite 201
Tucson, AZ 85718-5981
Phone
(520) 293-5757
Fax
(520) 293-7358
NPI assigned
Jul 20, 2005
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Dr. Scott N Sheftel, M.D., FAADNPI 1134128564
Title
Partner
Phone
(520) 293-5757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1595 E River Rd
Suite 201
Tucson, AZ 85718-5981

Mailing address

1595 E River Rd
Suite 201
Tucson, AZ 85718-5981
Phone (520) 293-5757

Other practice location 1

2295 E Vistoso Commerce Loop
Oro Valley, AZ 85755-9182
Phone (520) 293-5757

Other practice location 2

905 N Bowie Ave
Willcox, AZ 85643-1145
Phone (520) 293-5757

Other practice location 3

1775 W Saint Marys Rd Ste 116
Tucson, AZ 85745-2662
Phone (520) 293-5757

Other practice location 4

8290 S Houghton Rd Ste 190
Tucson, AZ 85747-9723
Phone (520) 293-5757

Other practice location 5

5190 E Farness Dr Ste 110
Tucson, AZ 85712-2142
Phone (520) 293-5757

Other practice location 6

18855 S La Canada Dr
Sahuarita, AZ 85629-8004
Phone (520) 293-5757

Other names 1

  • Shaw Sheftel Dermatology LLP Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402001410 AZ Part B Supplier - Clinic/Group Practice 7911990304 Receives reassigned benefits from 26 practitioners
Practice locations: Oro Valley, AZ; Tucson, AZ; Sahuarita, AZ; Globe, AZ

National Provider Directory

National Provider Directory

Locations

1055 N La Canada Dr
Ste 201
Green Valley, AZ 85614

1521 E Tangerine Rd
Ste 111
Oro Valley, AZ 85755
Phone (520) 297-3300

18855 S La Canada Dr
Sahuarita, AZ 85629
Phone 52029357577141

18855 S La Canada Dr
Ste 201
Sahuarita, AZ 85629

18865 S La Canada Dr
Sahuarita, AZ 85629

10120 E Old Vail Rd
Tucson, AZ 85747

10120 E Old Vail Rd
Ste 180
Tucson, AZ 85747

1430 E Fort Lowell Rd
Ste 120
Tucson, AZ 85719
Phone (520) 580-5020

1595 E River Rd
Ste 105
Tucson, AZ 85718

1595 E River Rd
Ste 151
Tucson, AZ 85718

1595 E River Rd
Ste 201
Tucson, AZ 85718
Phone 52029357577143

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1750380697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185981",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185981",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 E Vistoso Commerce Loop",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857559182",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 N Bowie Ave",
            "address_purpose": "LOCATION",
            "city": "Willcox",
            "state": "AZ",
            "postal_code": "856431145",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 W Saint Marys Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452662",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8290 S Houghton Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479723",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5190 E Farness Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122142",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18855 S La Canada Dr",
            "address_purpose": "LOCATION",
            "city": "Sahuarita",
            "state": "AZ",
            "postal_code": "856298004",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEFTEL & ASSOCIATES DERMATOLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SHEFTEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "520-293-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FAAD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaw Sheftel Dermatology LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Shaw Sheftel Dermatology LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.