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

Individual provider Physician Assistant · NPI 1255859567

Shane McBride Smith, PA-C is a Physician Assistant in Show Low, Arizona. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
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

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone: (928) 537-4375
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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 6819 (AZ)

Record details

NPI number1255859567
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESSeptember 7, 2017
Mailing address1400 Breinholt Ln, Show Low, AZ 85901

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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