Active NPI
Clay Daniel Shorter, PA
- Physician Assistant
- Gilbert, AZ
National Provider Identifier
1013233261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5777
- Practice address
- 2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5777 | AZ | |
| Physician Assistant | 363A00000X | 5777 | AZ | Primary |
Addresses
Primary practice location
2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168
Mailing address
PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z211189 | Medicaid | AZ | |
| 055351 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Yale University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 E Banner Gateway Dr
Gilbert, AZ 85234-2168
5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115
Hospital & facility affiliations
- Dignity Health Arizona General Hospital
- Arizona Spine and Joint Hospital
- Banner Gateway Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5777 | AZ | MD | Occupational Therapy Assistant |
| 6701 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Spine and Joint Hospital LLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| District Medical Group, Inc | Past | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Past | Accepting new patients |
Locations
525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303
2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234
2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234
20325 N 51st Ave
Ste 124
Glendale, AZ 85308
Phone (602) 230-1400
2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
Interoperability endpoints
- clayshorter@asjh.medalliesdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1568714152
-
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1689121188
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1013233261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80217",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850600217",
"telephone_number": "602-385-2115",
"fax_number": "480-418-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR STE 200-250",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342168",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTER",
"first_name": "CLAY",
"middle_name": "DANIEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-13",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "5777",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z211189",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055351",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.