Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John David Shull Jr., PA

Individual provider Surgical Physician Assistant · NPI 1114325677

Mr. John David Shull Jr., PA is a Physician Assistant in Mesa, Arizona. Qualified in 2014, 12 years ago. Practices with Arizona Otolaryngology Consultants, PC, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1520 S Dobson Rd Ste 217
Mesa, AZ 85202-4754
Phone: (480) 539-4000
Fax: (480) 833-3040
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4530 E Shea Blvd Ste 180, Phoenix, AZ 85028-6042 — (602) 264-4834

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5989 (AZ)

Record details

NPI number1114325677
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 16, 2014
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Arizona Otolaryngology Consultants, Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mesa