Richard A Shorter, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1105 Issued in WV

Practice address

904 Harrison St
Princeton, WV 24740-3011

Phone

(304) 461-7100

Fax

(304) 461-7112

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Community Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
  • NPI 1588738538
  Medicare reassignment NPD
• Community Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
  • NPI 1194510644
  NPD

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1770587172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "200 POCAHONTAS TRAIL",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860457",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HARRISON ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403011",
            "telephone_number": "304-461-7100",
            "fax_number": "304-461-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "756 Athens Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247406261",
            "country_code": "US",
            "telephone_number": "304-425-0716",
            "fax_number": "304-487-1322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORTER",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C&O",
            "identifier": "541839718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS MOUNTAIN STATE",
            "identifier": "541839718107",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "262907",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4324131",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010109892",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001390",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5181179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMPENSATION",
            "identifier": "1038179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00173397",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawson Shepherd
• Barbara Sheppard, APRN BC
• Jo Beth Shinn
• Paula Shipley
• John Robert Shirey, RPH
• Amanda Elizabeth Showalter
• Derrick Jerome Showalter
• Colleen Nicole Shrader, MSW
• Pamela Jeane Shrader, FNP
• Maria Shrewsberry, LPN

• Family Medicine Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.