Ivan Courtney Shorter, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

OS013175 Issued in PA

Practice address

169 Martin Ave
Ephrata, PA 17522-1734

Phone

(717) 733-0311

Fax

(717) 721-5861

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Philadelphia College of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Lancaster Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • Lancaster, PA
  • NPI 1598740508
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Apollo Medical Group of Lancaster LLC

  • Anesthesiology Physician
  • Lancaster, PA
  • NPI 1285283549
  Medicare reassignment NPD
• Community Anesthesia Associates, LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Lititz, PA
  • NPI 1245351147
  Medicare reassignment NPD
• Orthopedic Assoc of Lancaster LTD

  • Orthopaedic Surgery Physician
  • Lancaster, PA
  • NPI 1609835933

  Anesthesiology

  Medicare reassignment NPD
• Orthopedic Assoc of Lancaster LTD

  • Orthopaedic Surgery Physician
  • Ephrata, PA
  • NPI 1245934686
  NPD
• Wellspan Medical Group

  • Family Medicine Physician
  • Waynesboro, PA
  • NPI 1053024778
  NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Physicians Associates, LLC.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1568429363
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1083615587
  Care Compare affiliation
• Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1558558064
  Care Compare affiliation
• Ephrata Community Hospital

  • Hospitalist Physician
  • Ephrata, PA
  • NPI 1700023041
  Care Compare affiliation
• Ephrata Community Hospital-Spu

  • Clinic/Center
  • Ephrata, PA
  • NPI 1548423684

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1154338689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-733-0311",
            "fax_number": "717-721-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221734",
            "telephone_number": "717-733-0311",
            "fax_number": "717-721-5861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Martin Avenue",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-733-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-812-7687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-690-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-812-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035073",
            "country_code": "US",
            "telephone_number": "717-741-8250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORTER",
        "first_name": "IVAN",
        "middle_name": "COURTNEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS013175",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2119476",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102334947",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1584982",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa K Sheaffer, PHARM.D.
• Andrea Shelly, PA-C
• Donald Alan Sherman, R. PH.
• Tracy Sherman, CRNA
• Hannah Kessler Shope, LMT
• Gary L. Shugar, M.D.
• Keith Foster Shuke, OD
• Eugene Edward Shuman Jr., PA-C
• Jessica Sickels, LMT
• Corina Angela Silaghi, CRNP

• Anesthesiology Physician in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.

Verify at the official NPI Registry.