Justin P Schultz DO PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

JUSTIN P SCHULTZ DO PC

Practice address

6007 E Baseline Rd Ste 105
Mesa, AZ 85206-4801

Phone

(480) 897-2727

Fax

(480) 892-3035

NPI assigned

Mar 30, 2021

Last updated

Apr 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Jo Worischeck

Title

Office Manager

Phone

(480) 897-2727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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.

• Andrea Block, PA-C

  • Physician Assistant
  • Glendale, AZ
  • NPI 1013806561
  Medicare reassignment Care Compare group NPD
• Justin Paul Schultz, D.O.

  • Surgery Physician
  • Lansing, MI
  • NPI 1770933772

  AZ, Urology

  Medicare reassignment Care Compare group NPD
• Joseph H Worischeck, MD

  • Specialist
  • Gilbert, AZ
  • NPI 1902870173

  Urology

  NPD (past)

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1902484249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 E BASELINE RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064801",
            "telephone_number": "480-897-2727",
            "fax_number": "480-892-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 E BASELINE RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064801",
            "telephone_number": "480-897-2727",
            "fax_number": "480-892-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN P SCHULTZ DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "WORISCHECK",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-897-2727"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 8, 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.