CRAIG L SHANE


Address: 8th Ave C St, Salt Lake City, UT 84143-0001
Phone: 8012692500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
322973-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 8TH AVE C ST
City SALT LAKE CITY
State UT
Zip Code 84143-0001

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SALT LAKE CITY
Zip Code 84143

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Dataset Information

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.

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