Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Ann Shores, PA

Individual provider Physician Assistant · NPI 1518074079

Courtney Ann Shores, PA is a Physician Assistant in Rochester, New York. Qualified in 2002, 24 years ago. Practices with Cardiology Clinical Group, a 149-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1000 S Ave
Rochester, NY 14620-2733
Phone: (585) 341-6780
Fax: (585) 341-8489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009097 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 9097 (NY)

Record details

NPI number1518074079
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Cardiology Clinical Group — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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