Shannon I Heck (NPI# 1992811947, PAC ID# 2769414465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1992811947 |
| PAC ID by PECOS | 2769414465 |
| Professional Enrollment ID | I20061024000398 |
| Full Name | Shannon I Heck |
| Organization Legal Name | SOUTHWEST SKIN SPECIALISTS LLC |
| Address |
11130 N Tatum Blvd Suite 100 Phoenix AZ 85028-1630 |
| Phone Number | 6024941817 |
| Gender | F |
| Credential | MD |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9739079864 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 | 6024941817 | SOUTHWEST SKIN SPECIALISTS LLC |
| 10200 N 92nd St, Suite 205, Scottsdale, AZ 85258-4536 | 6024941817 | SOUTHWEST SKIN SPECIALISTS LLC |
| Organization Legal Name | SOUTHWEST SKIN SPECIALISTS LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Greenan | Physician Assistant | Southwest Skin Specialists LLC | 10200 N 92nd St, Suite 205, Scottsdale, AZ 85258-4536 |
| David J Glembocki | Pathology | Southwest Skin Specialists LLC | 5010 E Shea Blvd, Suite 130, Scottsdale, AZ 85254-4681 |
| Amanda C Rainwater | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Florencia Anatelli | Pathology | Southwest Skin Specialists LLC | 5010 E Shea Blvd, Suite 130, Scottsdale, AZ 85254-4681 |
| Haley E Meier | Physician Assistant | Southwest Skin Specialists LLC | 10200 N 92nd St, Suite 205, Scottsdale, AZ 85258-4536 |
| Mary F Fredenberg | Dermatology | Southwest Skin Specialists LLC | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5640 |
| Miriam P Cummings | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Adam T Sorensen | Dermatology | Southwest Skin Specialists LLC | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5640 |
| Jennifer L Sawaya | Dermatology | Southwest Skin Specialists LLC | 4400 N 32nd St, Suite 140, Phoenix, AZ 85018-3964 |
| Joseph M Giancola | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Street Address |
11130 N TATUM BLVD SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip | 85028-1630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda C Rainwater | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Miriam P Cummings | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Joseph M Giancola | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Benjamin W Lesueur | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Adam Joseph Luber | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Julie K Salmon | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Neel B Patel | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Howard J Luber | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary N Goodman | Psychologist, Clinical | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Mi Le Tran | Psychiatry | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Larisa Eubank Newell | Psychologist, Clinical | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Lisa Joy Gordon | Clinical Social Worker | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Jason Robert Newell | Clinical Psychologist | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Shelley B Dooley | Nurse Practitioner | 11120 N Tatum Blvd, Suite 101, Phoenix, AZ 85028-1628 | |
| Larry D Holle | Optometry | Total Eyecare Centers Pllc | 11230 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1641 |
| Jay Griffin | Nurse Practitioner | 11811 N Tatum Blvd, Suite P199, Phoenix, AZ 85028-1698 | |
| Neal H Olshan | Psychologist, Clinical | 4720 E Cholla St, Phoenix, AZ 85028-2304 | |
| Michael A Price | Physical Therapy | Foothills Sports Medicine and Physical Therapy Tatum Shea LLC | 11250 N Tatum Blvd, Suite 101, Phoenix, AZ 85028-2306 |
| Find all physicians in zip 85028 | |||
| City | PHOENIX |
| Zip Code | 85028 |
| Specialty | DERMATOLOGY |
| City + Specialty | PHOENIX + DERMATOLOGY |
Please comment or provide details below to improve the information on Shannon I Heck.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.