Provider Demographics
NPI:1518540442
Name:US CAREWAYS-DEN, PLLC
Entity Type:Organization
Organization Name:US CAREWAYS-DEN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SHUFELDT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:480-339-5088
Mailing Address - Street 1:14818 N 74TH STREET
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-221-8059
Mailing Address - Fax:480-452-0823
Practice Address - Street 1:8900 PENA BLVD
Practice Address - Street 2:UNIT R18-1-3-E3-S6-1 CONCOURSE
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249
Practice Address - Country:US
Practice Address - Phone:480-221-8059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care