{"npi":"1962781948","type":"NPI-2","status":"active","name":{"display":"Shawn M Sullivan DO PC","other":[],"organization_name":"SHAWN M SULLIVAN DO PC","authorised_official":"Shawn Sullivan"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"AZ","license":"3270"}]},"addresses":[{"purpose":"LOCATION","street_1":"3295 N DRINKWATER BLVD STE 5","city":"SCOTTSDALE","state":"AZ","postal_code":"852516437","country_code":"US","phone":"4809490298","fax":"4809491258"},{"purpose":"MAILING","street_1":"3295 N DRINKWATER BLVD STE 5","city":"SCOTTSDALE","state":"AZ","postal_code":"852516437","country_code":"US","phone":"4809490298","fax":"4809491258"}],"license":{"state":"AZ","number":"3270"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"459009","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170109003088","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"9739460544"}]},"enumeration_date":"2011-08-09","last_updated":"2021-03-03","_meta":{"source":"NPPES","snapshot_date":"2021-03-03","doc_url":"https://findmynpi.com/api"}}