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MR. JOHN DAVID SHULL PA NPI 1114325677


NPI Information

NPI: 1114325677
Provider Name: MR. JOHN DAVID SHULL, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1520 S DOBSON RD STE 217
MESA, AZ
ZIP 85202
Phone: (480) 539-4000
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MR. John David Shull, PA is a surgical physician assistant in Mesa, AZ with 10 years of experience. MR. John David Shull, PA NPI is 1114325677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1520 S DOBSON RD STE 217
MESA, AZ
ZIP 85202-754
Phone: (480) 539-4000
Fax: (480) 833-3040

The NPI 1114325677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eardrum testing using ear probe (HCPCS:92567)
  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 12/16/2014 and was last updated on 4/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical5989ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11119977OTHERNCCPA
25898OTHERARIZONASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.