NPIMap

Individual provider Active NPI

Emily Rose Shortridge

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Mesa, AZ
National Provider Identifier
1447514450
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
54569 Issued in AZ
Practice address
1220 S Higley Rd Ste 106
Mesa, AZ 85206
Phone
(602) 933-3937
Fax
(602) 933-2409
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R73592 AZ
Ophthalmology Physician 207W00000X 39452 SC
Ophthalmology Physician 207W00000X 54569 AZ
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 54569 AZ Primary

Addresses

Primary practice location

1220 S Higley Rd Ste 106
Mesa, AZ 85206

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814

Other identifiers 1

IdentifierTypeStateIssuer
R73592OtherAZPERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160809000087 SC Practitioner - Ophthalmology 0244524668 Reassigns benefits to 1 organization
I20170815003288 AZ Practitioner - Ophthalmology 0244524668 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carrot Eye Center PLLCGroup PAC ID 4981946654, 5 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

1500 S Dobson Rd
Suite 313
Mesa, AZ 85202-4752
Phone (480) 561-6000

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R73592AZMDInternal Medicine Physician
39452SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Carrot Eye Center, PLLC Ophthalmology CurrentSince Nov 1, 2024 Accepting new patients
Phoenix Children'S Hospital CurrentSince Sep 1, 2017 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Associated Ophthalmologists LTD Ophthalmology CurrentSince Mar 1, 2022 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Sep 1, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol Internal Medicine CurrentSince Jun 28, 2016 Accepting new patients
District Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

1500 S Dobson Rd
Ste 313
Mesa, AZ 85202
Phone (480) 561-6000

1220 S Higley Rd
Ste 106
Mesa, AZ 85206
Phone (602) 933-3937

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1920 E Cambridge Ave
Ste 203
Phoenix, AZ 85006
Phone (602) 933-3937

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: eshortridge240482@direct.valleywisehealth.org
  • Direct secure messaging: emily.shortridgemd.p3@direct.midwesternuniversity.nextgenshare.com

Organizations & group practices 10

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1447514450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S HIGLEY RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "602-933-3937",
            "fax_number": "602-933-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTRIDGE",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R73592",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "39452",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "54569",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "AZ",
            "license": "54569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMIT",
            "identifier": "R73592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.