Active NPI
Marcus Shortes, DO
- Emergency Medicine Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7042
- Practice address
- 3401 W Gore Blvd
Lawton, OK 73505-6332 - Phone
- (580) 355-8620
- NPI assigned
- Apr 9, 2019
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7042 | OK | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3401 W Gore Blvd
Lawton, OK 73505-6332
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Liberty Univ College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (469) 420-5527
3095 Kingswood Blvd
Suite 100
Grand Prairie, TX 75052-4501
Phone (972) 854-0009
Hospital & facility affiliations
- Ennis Regional Medical Center
- Arbuckle Memorial Hospital Authority
- Parkview Regional Hospital
- Baylor Scott and White Emergency Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7042 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbuckle Memorial Hospital | Current | Accepting new patients | |
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366
540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326
11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600
17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Pasadena, TX
- NPI 1801458708
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Critical Access Hospital
- Sulphur, OK
- NPI 1700869492
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sulphur, OK
- NPI 1700869492
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1598196206
-
- General Acute Care Hospital
- Burleson, TX
- NPI 1679903967
-
- General Acute Care Hospital
- Grand Prairie, TX
- NPI 1831629526
-
- General Acute Care Hospital
- Mexia, TX
- NPI 1497708929
-
- General Acute Care Hospital
- Ennis, TX
- NPI 1700805678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1255894150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "580-355-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTES",
"first_name": "MARCUS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "7042",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.