Cassandra Lynne Shore, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5253 Issued in AZ

Practice address

1100 S Dobson Rd Ste 223
Chandler, AZ 85286-6160

Phone

(480) 821-8888

Fax

(480) 821-0888

NPI assigned

Nov 1, 2012

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 AZ

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Valley Dermatology CenterGroup PAC ID 8022093384, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.48 of 100Reported as group

Quality

88.21

Improvement activities

40

Cost

73.99

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• East Valley Dermatology Center

  • Dermatology Physician
  • Chandler, AZ
  • NPI 1366529836
  Medicare reassignment Care Compare group
• East Valley Dermatology RX, LLC

  • Non-Pharmacy Dispensing Site
  • Chandler, AZ
  • NPI 1013312925
  NPD (past)
• Kwon MD, Inc

  • Specialist
  • Phoenix, AZ
  • NPI 1629280169
  NPD (past)

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1982958682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD STE 223",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866160",
            "telephone_number": "480-821-8888",
            "fax_number": "480-821-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD STE 223",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866160",
            "telephone_number": "480-821-8888",
            "fax_number": "480-821-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "CASSANDRA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Joseph Shoemaker
• Sholt Corporation
• Gretchen Shook, RN
• Phillip Shook, PT
• Margery Amy Anne Shoptaugh, MD
• Shoreline Counseling LLC
• Jack Henry Short, M.D.
• Savannah Rose Short
• Mark Alfred Shousha, D.D.S.
• Nickolena Showers

• Medical Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.