Active NPI
Sheldon Paul Wagman, D.O.
- Psychiatry Physician
- Scottsdale, AZ
National Provider Identifier
1962525774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2989
- Practice address
- 8260 E Raintree Dr
Suite 101
Scottsdale, AZ 85260-2516 - Phone
- (480) 951-8977
- Fax
- (480) 563-1958
- NPI assigned
- Apr 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2989 | AZ | Primary |
Addresses
Primary practice location
8260 E Raintree Dr
Suite 101
Scottsdale, AZ 85260-2516
Mailing address
8260 E Raintree Dr
Suite 101
Scottsdale, AZ 85260-2516
Phone (480) 951-8977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 14, 2017 through Sep 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2989 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1962525774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8260 E RAINTREE DR",
"address_2": "SUITE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602516",
"telephone_number": "480-951-8977",
"fax_number": "480-563-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8260 E RAINTREE DR",
"address_2": "SUITE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602516",
"telephone_number": "480-951-8977",
"fax_number": "480-563-1958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGMAN",
"first_name": "SHELDON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-08",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "2989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.