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

Richard Patrick Shaughnessy IV, DO

Individual provider Gastroenterology Physician · NPI 1689776254

Richard Patrick Shaughnessy IV, DO is a Gastroenterology in Phoenix, Arizona. Graduated from College of Osteo Med of the Pacific at Pomona in 2000, 26 years ago. Practices with Summit Healthcare Medical Associates, a 73-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1300 N 12th St Ste 603
Phoenix, AZ 85006-2848
Phone: (602) 254-6686
Fax: (602) 254-4258
Show map & directions

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

Additional practice locations (1)

  • 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901-7827 — (928) 537-6700

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 3911 (AZ)

Record details

NPI number1689776254
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address3020 E Camelback Rd Ste 301, Phoenix, AZ 85016-4418

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 2000 (26 years in practice)
Group practice Summit Healthcare Medical Associates — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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