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Active NPI 1083957740 Individual Practitioner Male Practitioner

Ronald Dean Shore , PA-C

Physician Assistant • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ronald Shore, PA-C is a certified Physician Assistant practicing in Chicago, IL. With approximately 14 years of clinical experience since graduating from Emory University School Of Medicine in 2012, Ronald Shore delivers high-quality medical care to the local community at 1701 W SUPERIOR ST.

Ronald Shore is affiliated with Charlotte Community Health Clinic, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1701 W Superior St

Chicago, IL 606225646

Telephone 3126663494
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +6.2 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shore (14 Years) 14 Yrs
Chicago Specialty Average (7.8 Years) 7.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 56824

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IL 085004625

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Charlotte Community Health Clinic, Inc.

3400 Shamrock Dr, Charlotte, NC 282153212

Phone: 7043166561

Charlotte Community Health Clinic, Inc.

5301 Wilkinson Blvd, Charlotte, NC 282085455

Phone: 7043166573

Charlotte Community Health Clinic, Inc.

5301 Wilkinson Blvd, Charlotte, NC 282085455

Phone: 7043166561

Charlotte Community Health Clinic, Inc.

8401 Medical Plaza Dr, Charlotte, NC 282628702

Phone: 7043166561

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Silvia Diaz , LCSW

Social Worker - Clinical

NPI 1003204686

Licensed Clinical Social Worker

Samantha Jerusal

Nurse Practitioner - Pediatrics

NPI 1013610971
Nida Bajwa

Family Medicine

NPI 1033744081
Dr. Preiyaa Gopinath , MD

Internal Medicine

NPI 1043746449

Doctor of Medicine (M.D.)

Carla Villarreal

Family Medicine

NPI 1043779960
Dr. Nicole Runkle , MD

Family Medicine

NPI 1043834252

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location December 27, 2024

Registered at 1701 W SUPERIOR ST, CHICAGO, IL 606225646 (Tel: 3126663494)

📍
Updated Practice Location May 13, 2024

Registered at 5454 EL CAJON BLVD, SAN DIEGO, CA 921153621 (Tel: 6195152400)

📍
Updated Practice Location August 11, 2021

Registered at 1701 W SUPERIOR ST, CHICAGO, IL 606225646 (Tel: 3126663494)

📍
Updated Business Mailing Address August 11, 2021

Registered at 1701 W SUPERIOR ST, CHICAGO, IL 606225646 (Tel: 3126663494)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2021

Physician Assistant (License #085004625 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2021

Physician Assistant (License #56824 in CA)

📍
Updated Business Mailing Address July 17, 2019

Registered at 823 GATEWAY CENTER WAY, SAN DIEGO, CA 921024541 (Tel: 6195152300)

NPI Profile Active April 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2013

Registered at 8321 W NORTH AVE, MELROSE PARK, IL 601601605 (Tel: 7047915633)

📍
Updated Business Mailing Address April 01, 2013

Registered at 5025 ENOCHVILLE RD, KANNAPOLIS, NC 280816309 (Tel: 7047915633)

👤
Provider Name / Credentials Updated April 01, 2013

Recorded as RONALD SHORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2013

Physician Assistant (License #085004625 in IL)

🟢
Initial NPI Registration & Enumeration April 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083957740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2013
Last Update: December 27, 2024
Sole Proprietor: No

Mailing Address

1701 W Superior St

Chicago, IL 606225646

Phone: 3126663494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.