# SHAWN M SULLIVAN DO PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962781948
- **Authorized official:** DR. SHAWN MICHAEL SULLIVAN D.O. (PHYSICIAN)
- **Authorized official phone:** (480) 949-0298

## Contact information

- **Practice address:** 3295 N DRINKWATER BLVD STE 5, SCOTTSDALE, AZ 85251-6437
- **Practice address phone:** (480) 949-0298
- **Practice address fax:** (480) 949-1258
- **Mailing address:** 3295 N DRINKWATER BLVD STE 5, SCOTTSDALE, AZ 85251-6437
- **Mailing address phone:** (480) 949-0298
- **Mailing address fax:** (480) 949-1258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3270 | AZ | Yes |

## Other

- **Enumeration date:** 08/09/2011
- **Last updated:** 03/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 459009 | — | AZ |