Provider Demographics
NPI:1588315196
Name:US CAREWAYS-JFK MEDICAL OFFICE PLLC
Entity type:Organization
Organization Name:US CAREWAYS-JFK MEDICAL OFFICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-339-5088
Mailing Address - Street 1:14818 N 74TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2405
Mailing Address - Country:US
Mailing Address - Phone:480-339-5088
Mailing Address - Fax:
Practice Address - Street 1:JFK INTERNATIONAL AIRPORT
Practice Address - Street 2:IAT-TERMINAL 4, SPACE HS2.1
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11430
Practice Address - Country:US
Practice Address - Phone:855-228-3649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care