Active NPIIndividual provider

John O'Shea, PA-C

Physician Assistant in Flagstaff, Arizona

NPI Number1750856647
Practice location
107 E Oak Ave, Flagstaff, AZ 86001-1818
Fax
—
Last updated
October 23, 2024

John O'Shea is a Physician Assistant based in Flagstaff, AZ. John O'Shea practices in Flagstaff, AZ and has the professional credentials of PA-C. The NPI Number for John O'Shea is 1750856647 and holds a License No. 10516 (AZ). The current practice location address for John O'Shea is 107 E Oak Ave, Flagstaff, AZ 86001-1818 and can be reached out via phone at 928-779-7880.

Provider Profile Details

NPI Number
1750856647
Provider Name
John O'Shea
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
107 E Oak Ave, Flagstaff, AZ 86001-1818
Phone Number
928-779-7880
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 8, 2018
Last Update Date
October 23, 2024
Certification Date
October 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 E Oak Ave
Flagstaff, AZ 86001-1818
State
Arizona
Zip
86001-1818
Phone Number
928-779-7880
Flagstaff, AZ 86001Get directions →

Provider Business Mailing Address Details

Address
575 Turnpike St Ste 21
North Andover, MA 01845-5937
City
North Andover
State
MA
Zip
01845-5937
Phone Number
978-794-1946
Fax Number
978-975-3925

License Information

License Number (1)
10516
License State (1)
AZ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
055.0031458
License State (2)
VT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John O'Shea, PA-C?

The NPI number of John O'Shea, PA-C is 1750856647. It was assigned on October 8, 2018 and is currently active in the NPPES registry.

What is the specialty of John O'Shea, PA-C?

John O'Shea, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in AZ under license number 10516.

Where does John O'Shea, PA-C practice?

The practice location is 107 E Oak Ave, Flagstaff, AZ 86001-1818. The office can be reached at 928-779-7880 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750856647 directly on the NPPES registry website.

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