Holly Dawn Short, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04050 Issued in TX

Practice address

4110 22ND PL
Lubbock, TX 79410-1122

Phone

(806) 792-4329

Fax

(806) 792-9466

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

CSK Medical PartnersGroup PAC ID 2466404447, 20 clinicians

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
• Roosevelt General Hospital Hospital, Portales, NM, CCN 320084
• Yoakum County Hospital Hospital, Denver City, TX, CCN 451308
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Brownfield Regional Medical Center Hospital, Brownfield, TX, CCN 450399

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• CSK Medical Partners

  • Specialist
  • Lubbock, TX
  • NPI 1902842404
  Medicare reassignment Care Compare group
• Dora Roberts Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Big Spring, TX
  • NPI 1760486708
  Care Compare group
• CSK Medical Partners

  • Physical Therapy Clinic/Center
  • Lubbock, TX
  • NPI 1467576793
  NPD

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

• County of Yoakum

  • Family Medicine Physician
  • Denver City, TX
  • NPI 1417692450

  Hospital

  Care Compare affiliation
• County of Yoakum

  • Critical Access Hospital
  • Denver City, TX
  • NPI 1790702371
  Care Compare affiliation
• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Lubbock Heritage Hospital, LLC.

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation
• Terry Memorial Hospital District

  • Rural Acute Care Hospital
  • Brownfield, TX
  • NPI 1811916901
  Care Compare affiliation
• Roosevelt County Special Hospital District

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058
  Care Compare affiliation

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1376507541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101122",
            "telephone_number": "806-792-4329",
            "fax_number": "806-792-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101122",
            "telephone_number": "806-792-4329",
            "fax_number": "806-792-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "HOLLY",
        "middle_name": "DAWN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Michael Shipley, D.O.
• Kevin Jay Shively Jr., DMD
• Michael Lynn Shobe, BC-HIS
• Alyssa Shoemaker, OTR
• Goutam Pada Shome, M.D.
• Matthew J Short, M.S., LPC, LCDC
• Susan Michelle Short, FNPC
• Varote Shotelersuk, M.D.
• Karim Shoujaa
• Omar Muhammad Shoukfeh, MD

• Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.