Active NPI
Steven Alan Shedd, MD
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1902876618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 14132
- Practice address
- 1850 N Central Ave
Ste1600
Phoenix, AZ 85004-4527 - Phone
- (602) 262-8900
- Fax
- (602) 262-8919
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 14132 | AZ | Primary |
Addresses
Primary practice location
1850 N Central Ave
Ste1600
Phoenix, AZ 85004-4527
Mailing address
1850 N Central Ave
Ste1600
Phoenix, AZ 85004-4527
Phone (602) 744-4765
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050074476 | Other | MEDICARE RAILROAD | |
| 251207 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14132 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1902876618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE",
"address_2": "STE1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044527",
"telephone_number": "602-744-4765",
"fax_number": "602-744-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE",
"address_2": "STE1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044527",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEDD",
"first_name": "STEVEN",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "14132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050074476",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251207",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}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 Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.