DR. SHANE NATHANIEL MCCAULEY (NPI# 1083603229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083603229 |
| Entity Type | Individual |
| Full Name | DR. SHANE NATHANIEL MCCAULEY |
| Credential | MD |
| Practice Address |
6051 W Emerald St Boise ID 83704 |
| Mailing Address |
3340 E Goldstone Dr. Meridian ID 83642 |
| Practice Telephone | 2083027600 |
| Practice Fax Number | 2083027605 |
| Mailing Telephone | 2083027600 |
| Mailing Fax Number | 2083027605 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | M-14730 | ID | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 01059435A | IN | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
01059435A | IN | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
M-14730 | ID | Allopathic & Osteopathic Physicians |
| N | 171000000X | Military Health Care Provider | 01059435A | IN | Other Service Providers |
| Street Address |
6051 W EMERALD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326431198 | Joshua Chong | Family Medicine | 6051 W Emerald St, Boise, ID 83704 | 2015-03-18 |
| 1477943991 | Brittany Sams | Specialist/Technologist | 6051 W Emerald St, Boise, ID 83704-8969 | 2015-02-04 |
| 1932463494 | Kristen Slappey | Family Medicine | 6051 W Emerald St, Boise, ID 83704 | 2012-06-29 |
| 1649377169 | Mark Nassir | Family Medicine | 6051 W Emerald St, Boise, ID 83704 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538339833 | Lowell A Schuknecht Jr. | Preventive Medicine | 5352 Hill Rd, Boise, ID 83703-2944 | 2008-03-03 |
| 1497211148 | Treasure Valley Occupational Medicine | Preventive Medicine | 8800 W Emerald St Ste 196, Boise, ID 83704-8205 | 2019-02-19 |
| 1144673021 | Saint Alphonsus Regional Medical Center | Preventive Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2016-07-15 |
| 1295907210 | Margaret Kay Cook-shimanek | Preventive Medicine | 6533 Emerald Street, Boise, ID 83704-8737 | 2008-03-31 |
| 1770790313 | Cody D Heiner | Preventive Medicine | 703 S Americana Blvd, Boise, ID 83702-5099 | 2007-05-16 |
| 1235183054 | Glenn C Bothwell | Preventive Medicine | 703 S Americana Blvd, Boise, ID 83702-5099 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740679711 | Paul Creighton | Preventive Medicine | 5038 E River Pl, Post Falls, ID 83854-6891 | 2015-01-14 |
| 1609014117 | John W. Jones | Preventive Medicine | 1017 E Young, Hope Wellness Center, Pocatello, ID 83201-4406 | 2009-01-22 |
| 1619173754 | William Francis Belk | Preventive Medicine | 1955 Fremont St, Inl Omp, Idaho Falls, ID 83415-0001 | 2007-06-25 |
| 1073718391 | Valley Vista Therapy Services | Preventive Medicine | 820 Elm St, St Maries, ID 83861-2119 | 2007-06-18 |
| 1629107131 | Howard W Shoemaker | Preventive Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2007-03-02 |
| 1497825285 | Stewart Ryan Curtis | Preventive Medicine | 2920 Cortez Ave, Idaho Falls, ID 83404-7554 | 2006-11-08 |
| 1619904638 | Douglas L Stagg | Preventive Medicine | 775 Pole Line Rd W, Suite 101, Twin Falls, ID 83301-5814 | 2006-06-26 |
Please comment or provide details below to improve the information on DR. SHANE NATHANIEL MCCAULEY.
| 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.