SHAUNA L MCBRIDE (NPI# 1457330532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457330532 |
| Entity Type | Individual |
| Full Name | SHAUNA L MCBRIDE |
| Credential | PA C |
| Practice Address |
168 N 100 E St George UT 84770-2893 |
| Practice Telephone | 4359862565 |
| Practice Fax Number | 4359862577 |
| Mailing Telephone | 4359862565 |
| Mailing Fax Number | 4359862577 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2014-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 58509011206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE B | 000057177 | 01 | |
| UT | MEDICARE UGS | 461819 | 01 |
| UT | 352163112003 | 05 | |
| MEDICAID PCN | 352163112017 | 01 |
| Street Address |
168 N 100 E |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-2893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417432501 | Ty Cannon | Physician Assistant | 616 S River Rd Ste 200, St George, UT 84790-2105 | 2018-09-25 |
| 1831630664 | Kevin Michael Oberg | Physician Assistant | 1380 E Medical Center Dr Ste 4500, St George, UT 84790-2173 | 2017-03-13 |
| 1831472679 | Colton Bennett | Physician Assistant | 652 S Medical Center Dr Ste 400, St George, UT 84790-7017 | 2011-09-27 |
| 1861798894 | Elisha Ann Haroldsen | Physician Assistant | 1490 E Foremaster Dr Ste 260, St George, UT 84790-4502 | 2011-02-09 |
| 1457502213 | Michelle Macfarlane | Physician Assistant | 515 S 300 E Ste 206, St George, UT 84770-3979 | 2008-10-09 |
| 1407007412 | Brennon Gary Jones | Physician Assistant | 1173 S 250 W Ste 503, St George, UT 84770-7190 | 2008-10-08 |
| 1992756258 | Helle Brand | Physician Assistant | 577 S River Rd, St George, UT 84790-2097 | 2006-05-12 |
| 1245296383 | Sean J Stucki | Physician Assistant | 1424 E Foremaster Dr # 120, St George, UT 84790-5832 | 2006-04-26 |
| 1215908322 | Jacqueline L Murray | Physician Assistant | 640 E 700 S, #105, St George, UT 84770-4023 | 2006-01-27 |
| 1821075227 | Todd A Stirling | Physician Assistant | 1490 E Foremaster Dr Ste 150, St George, UT 84790-4495 | 2005-12-27 |
| Find all providers in ST GEORGE | ||||
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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.