Shawn M Sullivan DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3270 Issued in AZ

Legal business name

SHAWN M SULLIVAN DO PC

Practice address

3295 N Drinkwater Blvd Ste 5
Scottsdale, AZ 85251-6437

Phone

(480) 949-0298

Fax

(480) 949-1258

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Michael Sullivan, D.O.NPI 1972544450

Title

Physician

Phone

(480) 949-0298

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14626/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Michael Sullivan, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1972544450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1962781948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 N DRINKWATER BLVD STE 5",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516437",
            "telephone_number": "480-949-0298",
            "fax_number": "480-949-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 N DRINKWATER BLVD STE 5",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516437",
            "telephone_number": "480-949-0298",
            "fax_number": "480-949-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN M SULLIVAN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2021-03-03",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-949-0298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459009",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Shaw, PA
• Lawrence Wayne Shaw, M.D.
• Ryan Shaw
• Sherri Shaw, RN
• Taylor Leigh-Anne Shaw, PA-C
• Shayya LLC
• Luay Shayya, M.D.
• Bonnie Shcolnik, PH. D
• Shea Anesthesia Professionals LLC
• Shea Medical Group, LLC

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.