MR. JOHN DAVID SHULL PA NPI 1114325677

NPI Information

  • NPI: 1114325677
  • Provider Name: MR. JOHN DAVID SHULL, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1520 S DOBSON RD STE 217
    MESA, AZ
    ZIP 85202
  • Phone: (480) 539-4000

Map and Directions

Get Directions

NPI Details

MR. John David Shull, PA is a surgical physician assistant in Mesa, AZ with 11 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.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test to assess middle ear function (HCPCS:92567)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Exam of ear using a microscope (HCPCS:92504)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Control of bleeding of nose using an endoscope (HCPCS:31238)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Simple control of nose bleed (HCPCS:30901)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI