Ms. Shelly Renee Crosson
Physician Assistant (Medical)

Address: 13400 E Shea Blvd, Scottsdale, AZ 85259-5452
Phone: 4803018000

Ms. Shelly Renee Crosson (NPI# 1790967578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1790967578
Entity Type Individual
Full Name Ms. Shelly Renee Crosson
Credential PA-C
Gender Female
Practice Address 13400 E Shea Blvd
Scottsdale
AZ 85259-5452
Practice Telephone 4803018000
Mailing Address 13400 E Shea Blvd
Scottsdale
AZ 85259-5452
Mailing Telephone 4803018000
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-12-03
Last Update Date 2012-12-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 3712 AZ

Other Provider Identifier

State Identifier Issuer Type Code
AZ 749002 MEDICAID

Physician Overview

NPI 1790967578
PAC ID by PECOS 6406008341
Professional Enrollment ID I20121128000764
Full Name Shelly R Crosson
Organization Legal Name MAYO CLINIC ARIZONA
Phone Number 4803424200
Gender F
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7012829930
Number of Group Practice Members 953
Accepts Medicare Assignment M
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030103 MAYO CLINIC HOSPITAL

Office Location

Street Address 13400 E SHEA BLVD
City SCOTTSDALE
State AZ
Zip Code 85259-5452

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932104205 Mark Randall Wallace Internal Medicine 13400 E Shea Blvd, Scottsdale, AZ 85259 2005-06-14
1114485190 Jeffrey Stagg Student in an Organized Health Care Education/Training Program 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2019-03-07
1336605997 Ana Gabriela Alatorre Nurse Practitioner 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2019-02-19
1225593882 Nicholas Parker Student in an Organized Health Care Education/Training Program 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 2019-02-07
1295290989 Zackary Kleven Physical Therapist 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2019-02-06
1396200341 Benjamin John Buchl Nurse Practitioner 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 2019-02-04
1366906950 Jessica Danielle Collier Nurse Practitioner 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2019-01-28
1922562925 Erika Kathleen Wingate Dietitian, Registered 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2019-01-24
1669946935 Kristin Marie Goodwin Occupational Therapist 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2019-01-18
1174097638 Sofia Abrate Physical Therapist 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2019-01-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053890541 Irene Mitchell Speech-Language Pathologist 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 2018-08-07
1437647237 Meier Clinics of California, Inc. Counselor 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 2018-04-26
1477071215 Swati Enhoffer Pharmacist 10500 E Mercer Ln, Scottsdale, AZ 85259 2017-08-31
1063964864 Med Ride Taxi 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 2016-10-27
1457740342 Erica Whitt Speech-Language Pathologist 11415 N 114th Strret, Apt A 314, Scottsdale, AZ 85259 2015-01-14
1922401991 Amy Siko Speech-Language Pathologist 11018 N 129th Way, Scottsdale, AZ 85259 2014-10-03
1639593759 Dental Associates for Kids Only Dentist 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 2014-02-10
1750712725 Sharon Nyquist Nurse Practitioner 13400 E Shea Blvd., Scottsdale, AZ 85259 2013-12-02
1417295809 Kristen L. Schaefer Physician Assistant 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 2013-01-21
1518210004 Ruth Aida Kosak Podiatrist 11390 E Via Linda #102, Scottsdale, AZ 85259 2012-10-21
Find all providers in zip 85259

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982988655 Shilo Gifford Physician Assistant 10617 N Hayden Rd Ste B102, Scottsdale, AZ 85260-5685 2011-09-29
1306148721 Meredith Bohne Esner Physician Assistant 16427 N Scottsdale Rd Ste 100, Scottsdale, AZ 85254-8197 2010-11-18
1265614275 Scott Richard Owen Physician Assistant 7344 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7456 2007-11-30
1811177231 Jennae Marie Porter Physician Assistant 8817 E Bell Rd, Suite 101, Scottsdale, AZ 85260-1588 2007-11-14
1487834099 Melissa Faulk Physician Assistant 14010 N Northsight Blvd, Scottsdale, AZ 85260-3601 2007-11-12
1316086226 Darren T West Physician Assistant 3302 N Miller Rd, Ste D, Scottsdale, AZ 85251-6400 2007-02-06
1548343247 Larissa C. Franchuk Physician Assistant 8406 E Shea Blvd Ste 100, Scottsdale, AZ 85260-6659 2006-10-24
1811080468 Gretchen F Post Physician Assistant 9913 N 95th Street, Scottsdale, AZ 85258 2006-10-02
1174584510 Salvatore Zummo Physician Assistant 12305 E Lupine Ave, Scottsdale, AZ 85259-3302 2006-03-28
1720073273 David Scott Villanueva Physician Assistant 6501 E Greenway Parkway, Suite 103-433, Scottsdale, AZ 85254-2065 2005-09-12
Find all providers in SCOTTSDALE

Competitor

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City SCOTTSDALE
Zip Code 85259

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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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