Doctor profile · Federal record
Dr. Shea Green, PA
Physician Assistant · Scottsdale, AZ
- NPI 1164041034
- 6 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
8752 E Via de Commercio Ste 1
Scottsdale, AZ 852583396
(480) 684-1080
fax (480) 684-1081 - Mailing address
-
9097 E Desert Cove Ave Ste 200
Scottsdale, AZ 852606280
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Profile last updated
- March 7, 2023
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Arizona #8239
- Medicaid
- AZ #085142
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164041034. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Coloplast Corp | 1 | $21.73 |
By nature of payment
Frequently asked questions
What is Dr. Shea Green's medical specialty?
Dr. Shea Green practices Physician Assistant in Scottsdale, AZ.
Where does Dr. Shea Green practice?
Dr. Shea Green practices at 8752 E Via de Commercio Ste 1, Scottsdale, AZ 852583396. Office phone: 4806841080.
What is Dr. Shea Green's NPI?
Dr. Shea Green's National Provider Identifier (NPI) is 1164041034, issued by NPPES.