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SHEA WOMENS CARE PC NPI 1558668715


NPI Information

NPI: 1558668715
Provider Name: SHEA WOMENS CARE PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 03D2023265

Address:
9522 E SAN SALVADOR DR
#319
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 767-0010
Get Directions

SHEA WOMENS CARE PC is an obstetrics gynecology in Scottsdale, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SHEA WOMENS CARE PC NPI is 1558668715. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9522 E SAN SALVADOR DR
#319
SCOTTSDALE, AZ
ZIP 85258-557
Phone: (480) 767-0010
Fax: (480) 767-0030

The provider's authorized official is Brenda A Martin .
The authorized official title is Member and has the following contact phone number (480) 767-0010.

The CLIA number assigned to this NPI record is 03D2023265 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/23/2011 and was last updated on 5/2/2011.


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
1207V00000XObstetrics & GynecologyYes

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
1604367MEDICAIDARIZONA

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

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