CRAIG L SHANE (NPI# 1144240623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144240623 |
| Entity Type | Individual |
| Full Name | CRAIG L SHANE |
| Credential | MD |
| Practice Address |
8th Ave C St Salt Lake City UT 84143-0001 |
| Mailing Address |
Po Box 30180 Salt Lake City UT 84130-0180 |
| Practice Telephone | 8012692500 |
| Practice Fax Number | 8012692690 |
| Mailing Telephone | 8012692500 |
| Mailing Fax Number | 8012692690 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
322973-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
8TH AVE C ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316967888 | Peter S Lenz | Emergency Medicine | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1376016618 | Ihc Health Services Inc | Internal Medicine | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2019-01-09 |
| 1679781124 | Przemyslaw Radwanski | Pharmacist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-05-18 |
| 1275755357 | Heather Elizabeth Welch | Occupational Therapist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-05-02 |
| 1649393281 | Jaren James Cooper | Physical Therapist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-09 |
| 1245353879 | Weston A Lindsay | Physical Therapist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-09 |
| 1104947233 | Anna M Siciliano | Speech-Language Pathologist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-03 |
| 1093836140 | Audrey Sorensen Walker | Speech-Language Pathologist | 8th Ave C St, Salt Lake City, UT 84103 | 2007-04-03 |
| 1902927569 | Katherine King Ragle | Speech-Language Pathologist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-02 |
| 1376664920 | Heather Anne Elwell | Speech-Language Pathologist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437437589 | Jeff Johnson Clawson | Emergency Medicine | 139 E South Temple, Suite 500, Salt Lake City, UT 84111-1103 | 2011-07-22 |
| 1548463508 | Michael D Dowdall | Emergency Medicine | 381 Middle Oak Ln, Salt Lake City, UT 84108-1649 | 2007-06-07 |
| 1669562419 | Emergency Physicians Integrated Care, LLC | Emergency Medicine | 2500 S State St, Salt Lake City, UT 84115-3110 | 2006-10-13 |
| 1316967888 | Peter S Lenz | Emergency Medicine | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1033139589 | Kathleen C Besser | Emergency Medicine | 8th Avenue C St, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1578598199 | Emergency Physicians Integrated Care, LLC | Emergency Medicine | 333 N 300 W, Salt Lake City, UT 84103-1215 | 2006-07-12 |
| 1467414581 | Peter P Taillac | Emergency Medicine | University of Utah Division of Emergency Medicine, 30 North 1900 East Room 1c026, Salt Lake City, UT 84132-0001 | 2006-04-04 |
| 1265689905 | Rocky Mountain Critical Care Associates, Inc | Emergency Medicine | 1050 E South Temple, 3rd Floor, Salt Lake City, UT 84102-1507 | 2008-08-25 |
| 1194972836 | S Dwayne Roberts Md LLC | Emergency Medicine | 1050 E South Temple, 3rd Floor, Salt Lake City, UT 84102-1507 | 2008-08-25 |
| 1538182365 | Gregory R Dunnavant | Emergency Medicine | 8th Avenue C St, Salt Lake City, UT 84143-0001 | 2006-07-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
Please comment or provide details below to improve the information on CRAIG L SHANE.
| 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.