Doctor profile · Federal record
Dr. Shad Spooner
Student in an Organized Health Care Education/Training Program · Phoenix, AZ
- NPI 1912640913
- 4 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1441 N 12Th St Fl 2
Phoenix, AZ 850062837
(602) 521-5969
fax (602) 521-5987
Credentials & registration
- NPI registered
- April 2022 — 4 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912640913. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$98
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $97.81 |
By nature of payment
Frequently asked questions
What is Dr. Shad Spooner's medical specialty?
Dr. Shad Spooner practices Student in an Organized Health Care Education/Training Program in Phoenix, AZ.
Where does Dr. Shad Spooner practice?
Dr. Shad Spooner practices at 1441 N 12Th St Fl 2, Phoenix, AZ 850062837. Office phone: 6025215969.
What is Dr. Shad Spooner's NPI?
Dr. Shad Spooner's National Provider Identifier (NPI) is 1912640913, issued by NPPES.