RANDALL J SHANNON (NPI# 1043327562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043327562 |
| Entity Type | Individual |
| Full Name | RANDALL J SHANNON |
| Credential | MD |
| Practice Address |
400 S Clark St Butte MT 59701-2328 |
| Mailing Address |
Po Box 4108 Butte MT 59702-4108 |
| Practice Telephone | 4067827442 |
| Mailing Telephone | 4067827442 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
8104 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 019994 | 05 | |
| MT | BCBS | 011991 | 01 |
| Street Address |
400 S CLARK ST |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312575 | Eva Maria Curry | Nurse Practitioner | 400 S Clark St, Butte, MT 59701 | 2005-11-14 |
| 1871114900 | Viola Davies | Specialist/Technologist | 400 S Clark St, Butte, MT 59701-2328 | 2020-04-29 |
| 1881171700 | Kendra Brown | Nurse Practitioner | 400 S Clark St, Butte, MT 59701-2328 | 2018-07-24 |
| 1780112862 | Copper City Radiology PC | Radiology | 400 S Clark St, Butte, MT 59701-2328 | 2017-06-01 |
| 1427423938 | Betty Kujawa | Physical Therapy Assistant | 400 S Clark St, Butte, MT 59701-2328 | 2015-12-09 |
| 1023496841 | Lee Baidinger Fenwick | Nurse Anesthetist, Certified Registered | 400 S Clark St, Butte, MT 59701-2328 | 2015-05-13 |
| 1285021469 | Amanda Opfer | Emergency Medicine | 400 S Clark St, Butte, MT 59701-2328 | 2015-04-24 |
| 1942697511 | Jean Scharchburg | Occupational Therapist | 400 S Clark St, Butte, MT 59701-2328 | 2015-04-22 |
| 1770979312 | Savanna Clary | Occupational Therapist | 400 S Clark St, Butte, MT 59701-2328 | 2015-04-10 |
| 1184010787 | Catherine Bartholomew | Physical Therapy Assistant | 400 S Clark St, Butte, MT 59701-2328 | 2015-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952418477 | David A Repola | Pathology | 400 S Clark, Butte, MT 59702-4108 | 2006-08-23 |
| 1861509382 | Butte Pathology LLC | Pathology | 400 S Clark, Butte, MT 59701 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484955 | Yellowstone Pathologists, PC | Pathology | 931 Highland Blvd Ste 3225, Bozeman, MT 59715-6911 | 2020-07-22 |
| 1104466994 | Inhealth Life Sciences LLC | Pathology | 960 Technology Blvd Ste 2, Bozeman, MT 59718-4147 | 2020-01-09 |
| 1700214905 | Gordon Lee Cox | Pathology | 3209 Rockwood Cir, Billings, MT 59102-0517 | 2013-10-24 |
| 1417214594 | Cheryl Reichert | Pathology | 51 Prospect Drive, Great Falls, MT 59405-4123 | 2012-04-13 |
| 1811268345 | John Ross Henneford Sr. | Pathology | 3334 12th Ave. So., Great Falls, MT 59405-5407 | 2012-01-13 |
| 1538230271 | Brenton Arthur Meda | Pathology | 2619 16th Ave S, Great Falls, MT 59405-5202 | 2006-11-13 |
| 1831288943 | Diana Claassen | Pathology | 2480 E Broadway St, Helena, MT 59601-4988 | 2006-10-12 |
| 1568567972 | Richard Lee Gallager | Pathology | 375 Shane Creek Rd, Columbus, MT 59019-7406 | 2006-09-13 |
| 1235184409 | Joseph Gerhardt Steffens IIi | Pathology | V. A. Medical Center, 113, 1892 Williams Street, Fort Harrison, MT 59636 | 2006-05-24 |
| 1588657456 | Benjamin L Blend | Pathology | 931 Highland Blvd, Suite 3220, Bozeman, MT 59715-6911 | 2005-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.