Active NPI
Shane Elton, DO
- Emergency Medicine Physician
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 008007
- Practice address
- 37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303 - Phone
- (480) 500-2540
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 55614866 | WV | |
| Emergency Medicine Physician | 207P00000X | 008007 | AZ | Primary |
Addresses
Primary practice location
37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Mailing address
2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8663
Other practice location 1
2000 Eoff St
Wheeling, WV 26003-3823
Phone (614) 370-1846
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (954) 939-5000
7171 S 51St Ave
Laveen, AZ 85339-2923
Phone (888) 732-3317
Hospital & facility affiliations
- Dignity Health Arizona General Hospital
- Banner Goldfield Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008007 | AZ | MD | Emergency Medicine Physician |
| 55614866 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Tec Emergency Physicians of Arizona, LLC | Current | Accepting new patients | |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100
9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
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
- Phoenix, AZ
- NPI 1518984210
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
- Emergency Medicine Physician
- Apache Junction, AZ
- NPI 1205273406
-
- Emergency Medicine Physician
- San Tan Valley, AZ
- NPI 1902936164
Hospital & facility affiliations 10
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
- Apache Junction, AZ
- NPI 1932543428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1306297643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-8663",
"fax_number": "304-234-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37000 N GANTZEL RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407303",
"telephone_number": "480-500-2540"
}
],
"practiceLocations": [
{
"address_1": "2000 Eoff St",
"address_purpose": "LOCATION",
"city": "Wheeling",
"state": "WV",
"postal_code": "260033823",
"country_code": "US",
"telephone_number": "614-370-1846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELTON",
"first_name": "SHANE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "55614866",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "008007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.