Shane Edward Moore, DO
Shane Edward Moore, DO is a General Surgery in Prescott Valley, Arizona. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2020, 6 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 6
- Trained at
- At Still University of Health Sciences, College of Osteo Med, Kirksville
- Licensed in
- AZ
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
7700 E Florentine Rd Ste 203Prescott Valley, AZ 86314-2245
Phone: (928) 708-4310
Fax: (928) 548-2164
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1301 S Crismon Rd, Mesa, AZ 85209-3767 — (480) 358-6450
- 1001 Willow Creek Rd Ste 1200, Prescott, AZ 86301-1614 — (928) 458-2995
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 011620 (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1982224796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | April 22, 2020 |
| Last updated in NPPES | June 3, 2025 |
| Certification date | June 3, 2025 |
| Mailing address | Po Box 10880, Prescott, AZ 86304-0880 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE |
| Graduated | 2020 (6 years in practice) |
| Group practice | Yavapai Regional Medical Center Physician Care Llc — 119 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Prescott Valley
-
Leeann Rene Groveunder, FNP-C
10860 E Lady Bug Ln, Prescott Valley, AZ 86315-4861 · (951) 505-8218
-
Mariah Hoyt
3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 · (928) 772-2582
-
Jordan Paluch
5785 E Cannon Pl, Prescott Valley, AZ 86314-0084 · (262) 374-2998