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DR. JON R SHERECK MD NPI 1316931702


NPI Information

NPI: 1316931702
Provider Name: DR. JON R SHERECK, MD
Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Individual

Specialization: Orthopaedic Trauma

Organization: NORTHERN ARIZONA HEALTHCARE CORPORATION

PECOS Registration: Yes

Address:
107 E OAK AVE
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-7880
Get Directions

DR. Jon R Shereck, MD is an orthopaedic trauma orthopaedic surgery in Flagstaff, AZ with 29 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. DR. Jon R Shereck, MD NPI is 1316931702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1995

The provider's business location address is:

107 E OAK AVE
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-7880
Fax: (928) 913-8801

The NPI 1316931702 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.

  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 8/31/2005 and was last updated on 11/26/2019.


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
1207X00000XOrthopaedic SurgeryC153955CALIFORNIANo
2207X00000XOrthopaedic Surgery7631NORTH DAKOTANo
3207X00000XOrthopaedic Surgery23059NEBRASKANo
4207XX0801XOrthopaedic SurgeryOrthopaedic Trauma59429ARIZONAYes

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: 11/14/2023

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.