SHEPHERD G PRYOR V (NPI# 1760469258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760469258 |
| Entity Type | Individual |
| Full Name | SHEPHERD G PRYOR V |
| Credential | M.D. |
| Practice Address |
8952 E Desert Cove Ave Suite 205 Scottsdale AZ 85260 |
| Mailing Address |
9097 E Desert Cove Ave Suite 260 Scottsdale AZ 85260 |
| Practice Telephone | 4802738688 |
| Practice Fax Number | 4807238689 |
| Mailing Telephone | 4802738688 |
| Mailing Fax Number | 4802738689 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
33720 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 021655100 | 05 |
| Street Address |
8952 E DESERT COVE AVE SUITE 205 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790778629 | Lawrence J Liszewski | Family Medicine | 8952 E Desert Cove Ave, Ste 114, Scottsdale, AZ 85260-6776 | 2005-08-25 |
| 1427592989 | Shuyuan Hong | Acupuncturist | 8952 E Desert Cove Ave, Scottsdale, AZ 85260-6775 | 2016-12-16 |
| 1518379684 | Mvh Healthcare LLC | Chiropractor | 8952 E Desert Cove Ave, Suite 105, Scottsdale, AZ 85260-6775 | 2014-05-23 |
| 1114341906 | Shea Pediatrics PC | Clinical Nurse Specialist | 8952 E Desert Cove Ave, #110, Scottsdale, AZ 85260-6775 | 2014-02-13 |
| 1447469671 | Shurveer International, Inc | Clinic/Center | 8952 E Desert Cove Ave, Suit 103, Scottsdale, AZ 85260 | 2007-05-22 |
| 1134240625 | Jordan Seth Weiner | Otolaryngology | 8952 E Desert Cove Ave, Suite 205, Scottsdale, AZ 85260 | 2007-04-02 |
| 1649377748 | Beatriz Olga Wege | Audiologist | 8952 E Desert Cove Ave, Suite 205, Scottsdale, AZ 85260-6775 | 2006-09-20 |
| 1659325835 | Richard A Isenberg Md Pllc | Ophthalmology | 8952 E Desert Cove Ave, Suite 206, Scottsdale, AZ 85260-6775 | 2006-05-20 |
| 1194704296 | John F Badolato | Dentist | 8952 E Desert Cove Ave, Suite 108, Scottsdale, AZ 85260-6775 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508065160 | Brian Trainor, Do, Pllc | Otolaryngology | 3501 N Scottsdale Rd Ste 142, Scottsdale, AZ 85251-5632 | 2007-07-13 |
| 1427519255 | Daniela Ann Brake | Otolaryngology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2019-03-26 |
| 1619449303 | Taylor Cave | Otolaryngology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2018-12-19 |
| 1396912911 | Samuel Steven Bailey | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Ste 230, Scottsdale, AZ 85255-4134 | 2008-05-13 |
| 1518186956 | David A Hecht Md PC | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Suite 250, Scottsdale, AZ 85255-4134 | 2007-04-24 |
| 1477540292 | Christopher L Lykins | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Ste 230, Scottsdale, AZ 85255-4134 | 2005-10-06 |
| 1659367910 | David Allan Hecht | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Suite 250, Scottsdale, AZ 85255-4134 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508111048 | Burton E Weissman | Otolaryngology | 6736 N 60th St, Paradise Valley, AZ 85253-3414 | 2012-07-20 |
| 1053575167 | A Sultan Lalani M D Ltd | Otolaryngology | 2175 S Avenue A Ste B, Yuma, AZ 85364-8458 | 2008-07-17 |
| 1922126085 | Arizona Head Neck & Facial Surgery Ltd | Otolaryngology | 1515 N 9th Street, Suite B, Phoenix, AZ 85006 | 2007-03-27 |
| 1679801526 | Richard Besserman | Otolaryngology | 3104 E Camelback Rd, #107, Phoenix, AZ 85016-4502 | 2009-12-03 |
| 1699896027 | Tracey Knott | Otolaryngology | 3420 S Mercy Rd, Suite 107, Gilbert, AZ 85297-0419 | 2007-04-03 |
| 1710014410 | Enticare PC | Otolaryngology | 3420 S Mercy Rd, Ste 107, Gilbert, AZ 85297-0419 | 2007-02-28 |
| 1174551014 | James Michael Reidy | Otolaryngology | 2680 S Val Vista Dr, Bldg 13, Unit 175, Gilbert, AZ 85295-2152 | 2006-06-29 |
| 1588651301 | Jeffrey J. Dyer | Otolaryngology | 6950 E Chauncey Ln, Suite 100, Phoenix, AZ 85054-5155 | 2005-10-06 |
| 1578550398 | Don B. Headley | Otolaryngology | 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013-4224 | 2005-10-06 |
| 1467449298 | Entegrity Ear Nose & Throat Specialists PC | Otolaryngology | 11209 N Tatum Blvd, Suite 275, Phoenix, AZ 85028-3091 | 2005-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
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| 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.