Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Doty, PA-C

Individual provider Physician Assistant · NPI 1568938280

Shane Doty, PA-C is a Physician Assistant in Chandler, Arizona. Qualified in 2019, 7 years ago. Practices with Atlas Medical ACO LLC, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711
Phone: (480) 464-4431
Fax: (480) 464-2338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 — (480) 718-0568

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 7549 (AZ)

Record details

NPI number1568938280
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 19, 2018
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address70 N McClintock Dr Ste 4, Chandler, AZ 85226-3711

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Atlas Medical Aco Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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