- Practice location
- 6379 W Cactus RD, Peoria, AZ 85381
- Phone
- 203-564-3368
- Fax
- —
- Last updated
- June 13, 2022
Sheddler Straus Jacques is a Physician Assistant based in Peoria, AZ. Sheddler Straus Jacques practices in Peoria, AZ and has the professional credentials of PA. The NPI Number for Sheddler Straus Jacques is 1770213878 and holds a License No. 8990 (AZ). The current practice location address for Sheddler Straus Jacques is 6379 W Cactus RD, Peoria, AZ 85381 and can be reached out via phone at 203-564-3368.
Provider Profile Details
- NPI Number
- 1770213878
- Provider Name
- Sheddler Straus Jacques
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6379 W Cactus RD, Peoria, AZ 85381
- Phone Number
- 203-564-3368
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 13, 2022
- Last Update Date
- June 13, 2022
- Certification Date
- May 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6379 W Cactus RD
Peoria, AZ 85381 - City
- Peoria
- State
- Arizona
- Zip
- 85381
- Phone Number
- 203-564-3368
Provider Business Mailing Address Details
- Address
- 38 Maple Tree Ave Apt 3
Stamford, CT 06906-2234 - City
- Stamford
- State
- CT
- Zip
- 06906-2234
- Phone Number
- 203-564-3368
License Information
- Taxonomy (1)
- Respiratory Therapist, Certified, General Care · 2278G1100X
- License Number (2)
- 8990
- License State (2)
- AZ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Sheddler S Jacques, PA?
The NPI number of Sheddler S Jacques, PA is 1770213878. It was assigned on June 13, 2022 and is currently active in the NPPES registry.
What is the specialty of Sheddler S Jacques, PA?
Sheddler S Jacques, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in AZ under license number 8990.
Where does Sheddler S Jacques, PA practice?
The practice location is 6379 W Cactus RD, Peoria, AZ 85381. The office can be reached at 203-564-3368 (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 1770213878 directly on the NPPES registry website.