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

Individual provider Surgical Physician Assistant · NPI 1265766422

Shea Perillo, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2009, 17 years ago. Practices with Skin Specialists P C, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6553 E Baywood Ave
Mesa, AZ 85206-1752
Phone: (480) 969-3532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4507 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4507 (AZ)

Record details

NPI number1265766422
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 21, 2009
Last updated in NPPESApril 4, 2014
Mailing address6553 E Baywood Ave, Ste 101b, Mesa, AZ 85206-1752

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Skin Specialists P C — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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