SHANNON LEIPUS


Address: 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254
Phone: 6022584788

SHANNON LEIPUS (NPI# 1013491968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013491968
Entity Type Individual
Full Name SHANNON LEIPUS
Credential PA-C
Practice Address 370 E Virginia Ave Ste 100
Phoenix
AZ 85004-1254
Mailing Address 20808 N 27th Ave Apt 2030
Phoenix
AZ 85027-3235
Practice Telephone 6022584788
Enumeration Date 2018-09-17
Last Update Date 2018-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
7230 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 370 E VIRGINIA AVE STE 100
City PHOENIX
State AZ
Zip Code 85004-1254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053365528 Leonard Bodell Orthopaedic Surgery 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 2006-05-20
1336659507 Shera Miriam Shaul Physician Assistant 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 2017-10-02
1215451356 Amber Lynn Wachtmann Nurse Practitioner 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 2017-07-31
1235501370 Trauma & Reconstructive Upper Extremity Specialists Pllc Oral & Maxillofacial Surgery 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 2015-10-28
1073918215 Steven Vance Harrison IIi Physician Assistant 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 2014-10-30
1891040440 Michael Thorpe Larsen Plastic Surgery 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 2012-07-19
1881984672 Joshua Mirrer Plastic Surgery 370 E Virginia Ave Ste 100, Phoenix, AZ 85004 2011-04-13
1487953840 Kevin D Han Plastic Surgery 370 E Virginia Ave Ste 100, Phoenix, AZ 85004 2011-03-23
1902975907 Allen Shuyuan Liu Surgery 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 2006-11-06
1275549156 Vivek Agrawal Orthopaedic Surgery 370 E Virginia Ave Ste 100, Phoenix, AZ 85004 2006-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1508325929 Ican America Clinic/Center Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 2019-03-15
1770064107 Edward Jude Stein Pharmacist Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 2018-08-23
1740775303 Alexander L. Shaw Dentist 201 N Central Ave. #1490, Phoenix, AZ 85004 2018-06-26
1497267868 Michael Dimoff Registered Nurse 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 2017-10-25
1093231433 Ezequiel Bautista Music Therapist 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 2017-08-17
1841742442 Stacy Maahs Nurse Practitioner 500 N 3rd St Ste 155, Phoenix, AZ 85004 2016-10-29
1538537246 Jessica Lindsay Karlson Pharmacist 2302 N Central Ave Ste 7, Phoenix, AZ 85004 2015-09-11
1689059883 Yvette's Hope Foundation Home Health 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 2015-07-29
1881082790 Patricia Russell Specialist/Technologist 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 2014-12-30
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831630375 Surgeassist, Pllc Physician Assistant 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 2017-03-16
1245695139 Alex Hall Physician Assistant 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 2015-12-21
1730550146 Jennifer Zazueta Physician Assistant 4126 E Nighthawk Way, Phoenix, AZ 85048 2015-10-12
1598047367 James P. Ennis II Physician Assistant 4023 Cloverland Drive, Phoenix, MD 21131-2139 2011-09-16
1023327251 Perry A. Brazel Physician Assistant 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 2010-10-06
1720305535 Arizona Surgeons Assistant PC Physician Assistant 4369 E Hartford Ave, Phoenix, AZ 85032-2298 2010-05-03
1023296381 On-call Surgical Assistants LLC Physician Assistant 5710 W Spur Dr, Phoenix, AZ 85083-1245 2008-02-08
1760527725 North Valley Surgical Assisting, Inc. Physician Assistant 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 2007-02-20
1548321136 Laura M Hanschka Physician Assistant 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 2006-12-13
1134148513 Corey L Thompson Physician Assistant 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 2006-07-18
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Competitor

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City PHOENIX
Zip Code 85004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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