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

Shad Misseldine, MD

Individual provider Anesthesiology Physician · NPI 1255523213

Shad Misseldine, MD is an Anesthesiology in Phoenix, Arizona. Graduated from Ohio State University College of Medicine in 2005, 21 years ago. Licensed in Arizona.

Years since qualifying
21
Trained at
Ohio State University College of Medicine
Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7600 N 15th St Ste 290
Phoenix, AZ 85020-4336
Phone: (602) 312-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 43059 (AZ)

Record details

NPI number1255523213
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2007
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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