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SHAWN M SULLIVAN DO PC
NPI 1962781948
Family Medicine in Scottsdale, AZ

Active since August 09, 2011CLIA 03D1018759 · Waiver
3295 N DRINKWATER BLVD STE 5, SCOTTSDALE, AZ 85251(480) 949-0298(480) 949-1258 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawn M Sullivan Do Pc NPPES

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

SHAWN M SULLIVAN DO PC (NPI 1962781948) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 29, 2027 and lists Shawn Michael Sullivan, Physician, as its authorized official.

NPPES Registry Identity

NPI1962781948
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHAWN M SULLIVAN DO PC
Location Address3295 N DRINKWATER BLVD STE 5Scottsdale, AZ 85251-6437
Mailing Address3295 N Drinkwater Blvd Ste 5Scottsdale, AZ 85251-6437 · (480) 949-0298 · Fax (480) 949-1258
Phone(480) 949-0298
Fax(480) 949-1258
Organization SubpartNo
Authorized OfficialShawn Michael SullivanPhysician · (480) 949-0298
Enumeration DateAugust 9, 2011
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedJanuary 26, 2021
✔ NPI 1962781948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 3270
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.
3295 N DRINKWATER BLVD STE 5, Scottsdale, AZ 85251
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Other Identifiers 1

Medicaid459009AZ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1018759

Shawn M Sullivan Do PC · Scottsdale, AZ
Active · expires Oct 29, 2027
CLIA Number03D1018759
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorShawn M. Sullivan, Do
Laboratory Phone(480) 949-0298
Laboratory LocationShawn M Sullivan Do PC3295 N Drinkwater Blvd #5, Scottsdale, AZ 85251
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAWN MICHAEL SULLIVAN D.O.
Family Medicine
3295 N DRINKWATER BLVD STE 5
SCOTTSDALE, AZ 85251
Maricopa County (480) 949-0298

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 Shawn M Sullivan Do PC's NPI number?

The NPI number for Shawn M Sullivan Do PC is 1962781948. It was assigned to this organization in the NPPES registry on August 9, 2011.

Where is Shawn M Sullivan Do PC located?

Shawn M Sullivan Do PC is located at 3295 N Drinkwater Blvd Ste 5, Scottsdale, AZ 85251. The listed phone number is (480) 949-0298.

What is Shawn M Sullivan Do PC's specialty?

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

Does Shawn M Sullivan Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1018759) is associated with this NPI, valid through October 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shawn M Sullivan Do PC was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.