Michael Shishov

MD | Pediatric Rheumatology | Male

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Complete Profile:

Michael Shishov basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Rheumatology
Provider Name :	Michael Shishov
Credential :	MD
Gender :	Male

Business Address:

Michael Shishov address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1920 E Cambridge Ave, Suite 200 Phoenix, AZ, 85016-1459 United States
Phone Number :	602-933-0909
Fax Number :	602-933-0911

Professional Identification Codes:

NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.

NPI Number :	1972552396
NPI Entity Type :	Individual
First Enrolment Date :	10 May, 2006
Last Updated On :	22 Nov, 2011

Medicare Participation:

Michael Shishov participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0345251823
Medicare Enrollment ID :	I20061019000667
Primary Specialty :	Rheumatology
Medical School :	Other
Graduation Year :	2000
Accepts Medicare?	Yes. Michael Shishov accepts medicare insurance.

Group Practice Association:

Michael Shishov is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael Shishov is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Phoenix Children's Hospital	0446278584	278	1920 E Cambridge Ave Phoenix, AZ - 850061459 Ph: 6029331000	Yes
Phoenix Children's Hospital	0446278584	278	1919 E Thomas Rd Phoenix, AZ - 850167710 Ph: 6029331000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Shishov are as mentioned. Primary taxonomy code for Michael Shishov, MD is 2080P0216X (Pediatrics Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0216X	Pediatrics Pediatric Rheumatology	Yes	35371	AZ

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1920 E Cambridge Ave, Suite 200 Phoenix, AZ, 85006-1459 United States
Phone Number :	602-933-0909
Fax Number :	602-933-0911

Business Location:

Patients can refer following map for directions to Michael Shishov practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.