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

Shanon Ione Heck, MD

Individual provider Dermatology Physician · NPI 1992811947

Shanon Ione Heck, MD is a Dermatology in Phoenix, Arizona. Graduated from Eastern Virginia Medical School in 2001, 25 years ago. Practices with Southwest Skin Specialists LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Arizona and Virginia.

Years since qualifying
25
Trained at
Eastern Virginia Medical School
Licensed in
AZ, VA
In the registry since
2006
Specialties on file
2
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

11130 N Tatum Blvd Ste 100
Phoenix, AZ 85028-1662
Phone: (602) 494-1817
Fax: (602) 494-7103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35454 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence 0101235064 (VA)

Record details

NPI number1992811947
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESDecember 4, 2018

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Group practice Southwest Skin Specialists Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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