SHANE MICHAEL SMITH (NPI# 1184705980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184705980 |
| Entity Type | Individual |
| Full Name | SHANE MICHAEL SMITH |
| Credential | M.D. |
| Practice Address |
516 W 14th Ave Ste 100 Holdrege NE 68949-1215 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 3089954431 |
| Practice Fax Number | 3089953247 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 24107 | NE | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 37886 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0254656 | 05 | |
| IA | MEDIPASS GROUP # | 0638593 | 01 |
| IA | MEDICARE B # | 42047 | 01 |
| IA | MEDICARE RURAL HEALTH CLINIC - SANBORN | 168505 | 01 |
| IA | MEDICARE RURAL HEALTH CLINIC | 168506 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| 1609306158 | Shane Eric Smith | Chiropractor | 1300 E 66th St Ste 100, Richfield, MN 55423-2685 | 2017-06-18 |
| 1396199733 | Shane Todd Smith | Registered Nurse | 725 Rothrock Dr, Galloway, OH 43119-8692 | 2016-04-22 |
| 1679815484 | Shane Timothy Smith | Counselor | 4629 Celia Way, Apt 202, Bellingham, WA 98226-7475 | 2013-03-19 |
| 1972726719 | Shane Smith | Chiropractor | 1380 Long Fellow Ave, Chico, CA 95926 | 2007-04-10 |
| 1821177197 | Shane Smith | Chiropractor | 2301 Berlin Tpke, Newington, CT 06111-3206 | 2006-11-06 |
| 1003465675 | Shane R Smith | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-09-06 |
| 1255859567 | Shane Mcbride Smith | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-09-07 |
| 1124578836 | Shane Smith | Chiropractor | 12313 Gold St, Omaha, NE 68144-2760 | 2016-10-05 |
| 1982157038 | Shane Michael Smith | Dentist | 1804 Old Greensboro Rd, Jonesboro, AR 72401-1896 | 2016-07-25 |
| Street Address |
516 W 14TH AVE STE 100 |
| City | HOLDREGE |
| State | NE |
| Zip Code | 68949-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619454485 | Holdrege Medical Clinic, P.C. | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2018-07-25 |
| 1104209337 | Kathryn Thelen | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949 | 2015-07-07 |
| 1710369095 | Russell Carlston | Podiatrist | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2015-06-23 |
| 1487032181 | Krista Marie Stoecker | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2015-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623354 | Wells Health PC | Chiropractor | 502 4th Ave., Holdrege, NE 68949 | 2013-04-12 |
| 1841568722 | Mileah A. Panter | Nurse Practitioner | Phelps Medical Group, 1315 Tibbals Street, Holdrege, NE 68949 | 2011-12-07 |
| 1386706984 | Grant Joel Hinze | Dentist | 725 Burlington, Holdrege, NE 68949 | 2006-12-14 |
| 1407922388 | Timothy Wade Fuehrer | Chiropractor | 812 4th Avenue, Holdrege, NE 68949 | 2006-11-24 |
| 1730271537 | South Central Behavioral Services | Clinic/Center | 701 4th Avenue, Suite 11a, Holdrege, NE 68949 | 2006-09-29 |
| 1396851572 | Douglas Mark Hohman | Dentist | 1223 Hill St, Holdrege, NE 68949 | 2006-08-21 |
| 1528004231 | Charlotte A Wirges | Family Medicine | 1315 Tibbals Street, Holdrege, NE 68949 | 2006-06-21 |
| 1962473835 | Great Plains Surgery PC | Surgery | 1138 Miller Street, Holdrege, NE 68949 | 2006-01-30 |
| 1790180263 | Sarah L Bader | Occupational Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2014-10-27 |
| 1689979684 | Katie M Brooks | Occupational Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2011-01-21 |
| Find all providers in zip 68949 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598977886 | Stuart Paul Embury | Family Medicine | 1606 Garfield Dr, Holdrege, NE 68949-1422 | 2007-05-07 |
| 1528004231 | Charlotte A Wirges | Family Medicine | 1315 Tibbals Street, Holdrege, NE 68949 | 2006-06-21 |
| 1972548477 | Scott Michael Ehresman | Family Medicine | 516 W 14th Ave, Ste 100, Holdrege, NE 68949-1216 | 2006-06-18 |
| 1760429179 | High Plains Clinic, LLC | Family Medicine | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2006-06-02 |
| 1619454485 | Holdrege Medical Clinic, P.C. | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2018-07-25 |
| 1760902159 | Danika Marie Peterson | Family Medicine | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2017-06-26 |
| 1104209337 | Kathryn Thelen | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949 | 2015-07-07 |
| 1487032181 | Krista Marie Stoecker | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2015-05-13 |
| 1891189809 | Phelps Memorial Health Center | Family Medicine | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2015-03-27 |
| 1093881211 | Michael J Huckabee | Family Medicine | 516 W 14th Ave, Ste 100, Holdrege, NE 68949-1216 | 2006-11-28 |
| Find all providers in HOLDREGE | ||||
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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.