Robert S Shahon, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

19356 Issued in AZ

Practice address

6750 E Baywood Ave Ste 507
Mesa, AZ 85206

Phone

(480) 409-5060

NPI assigned

Jun 16, 2005

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urologic Surgeons of Arizona PLC

  dba USA Primary Care and Wellness

  • Urology Physician
  • Mesa, AZ
  • NPI 1780929141
  Medicare reassignment NPD
• Urologic Surgeons of Arizona PLC

  • Urology Physician
  • Mesa, AZ
  • NPI 1508750324
  NPD

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1841295771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE STE 507",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-409-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE STE 507",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-409-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 E Warner Rd Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963054",
            "country_code": "US",
            "telephone_number": "480-664-0261",
            "fax_number": "480-664-0281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 S Dobson Rd",
            "address_2": "Ste 206",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024753",
            "country_code": "US",
            "telephone_number": "480-833-7000",
            "fax_number": "480-833-5666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 S Mercy Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970438",
            "country_code": "US",
            "telephone_number": "480-409-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHON",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "19356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171033",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z156080",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.