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Shane Smith

  • Male

Medical Specialty

Professional ID

  • NPI: 1255859567
  • PECOS ID: 9638444342
  • Enrollment ID: I20171005002755
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2017

Medical Practices

  • Organization Name: Summit Healthcare Medical Associates
  • Group Practice ID assigned by PECOS: 8729205737
  • Number of Group Practice member: 49

Location

  • Address1: 114 S White Mountain Ave
  • Address2:
  • City: Springerville
  • State: Arizona
  • Zip Code: 85938
  • Phone Number: (928)333-7333

Location

  • Address1: 2051 E Evergreen Ln
  • Address2: Suite B/c
  • City: Show Low
  • State: Arizona
  • Zip Code: 85901
  • Phone Number: (928)537-6977

Location

  • Address1: 2200 E Show Low Lake Rd
  • Address2:
  • City: Show Low
  • State: Arizona
  • Zip Code: 85901
  • Phone Number: (928)537-6371

Location

  • Address1: 2450 E Show Low Lake Rd
  • Address2: Suite 2a Bldg 1
  • City: Show Low
  • State: Arizona
  • Zip Code: 85901
  • Phone Number: (928)537-6767

Location

  • Address1: 3401 S White Mountain Rd
  • Address2: Suite E
  • City: Show Low
  • State: Arizona
  • Zip Code: 85901
  • Phone Number: (928)537-6792

Location

  • Address1: 5171 Cub Lake Rd
  • Address2:
  • City: Show Low
  • State: Arizona
  • Zip Code: 85901
  • Phone Number: (928)537-9944

Location

  • Address1: 5300 S Sutter Dr
  • Address2: Suite 1
  • City: Show Low
  • State: Arizona
  • Zip Code: 85901
  • Phone Number: (928)537-9944

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):