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CREOSOTE TOTAL HEALTH
NPI 1043928476
Family Medicine in Tempe, AZ

Active since November 15, 2022
8380 S KYRENE RD # D-103, TEMPE, AZ 85284(480) 269-3208(480) 674-1295 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2024, Nov 15, 2022 (2 updates tracked since 2022).

About Creosote Total Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREOSOTE TOTAL HEALTH (NPI 1043928476) is a healthcare organization registered as a family medicine in Tempe, Arizona and active in the NPI registry since November 2022. The organization lists Simon Sheard, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1043928476
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCREOSOTE TOTAL HEALTH PC
Location Address8380 S KYRENE RD # D-103Tempe, AZ 85284-2120
Mailing Address8380 S Kyrene Rd # D-103Tempe, AZ 85284-2120 · (480) 269-3208 · Fax (480) 674-1295
Phone(480) 269-3208
Fax(480) 674-1295
Organization SubpartNo
Authorized OfficialSimon SheardPhysician/owner · (480) 269-3208
Enumeration DateNovember 15, 2022
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1043928476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8380 S KYRENE RD # D-103, Tempe, AZ 85284
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Other Names 1

Doing Business AsCreosote Total Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creosote Total Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Creosote Total Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Simon Sheard, D.O.
Family Practice
NPI 1083926877
8380 S KYRENE RD # D-103
Tempe, AZ 85284
(480) 269-3208
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creosote Total Health PC's NPI number?

The NPI number for Creosote Total Health PC is 1043928476. It was assigned to this organization in the NPPES registry on November 15, 2022. The provider is doing business as Creosote Total Health.

Where is Creosote Total Health PC located?

Creosote Total Health PC is located at 8380 S Kyrene Rd # D-103, Tempe, AZ 85284. The listed phone number is (480) 269-3208.

What is Creosote Total Health PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Creosote Total Health PC enrolled in Medicare?

Yes. Creosote Total Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Creosote Total Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Creosote Total Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Creosote Total Health PC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.