DR. SHANE RANDALL CHRISTENSEN (NPI# 1487749859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487749859 |
| Entity Type | Individual |
| Full Name | DR. SHANE RANDALL CHRISTENSEN |
| Credential | M.D. |
| Practice Address |
7900 Lees Summit Road Kansas City MO 66139 |
| Mailing Address |
4822 Ridgeway Court Kansas City MO 64133-2451 |
| Practice Telephone | 8164047500 |
| Mailing Telephone | 8163537669 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R7A51 | MO | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
R7A51 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201367224 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124248505 | Shane Robert Christensen | Dentist | 19700 E Parker Square Dr, Suite 8, Parker, CO 80134-7301 | 2007-04-26 |
| 1861427189 | Shane G. Christensen | Family Medicine | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2006-07-12 |
| Street Address |
7900 LEES SUMMIT ROAD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 66139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205670 | Sara Crites | Occupational Therapist | 704 E 122nd St, Kansas City, MO 64146-1113 | 2020-11-08 |
| 1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
| 1467053298 | Santissa Tenise Clapp | Registered Nurse | 4265 Clark Ave Apt 218, Kansas City, MO 64111-4580 | 2020-11-06 |
| 1609477173 | Contrive Home Care Solutions LLC | In Home Supportive Care | 2839 Monroe Ave, Kansas City, MO 64128-1494 | 2020-11-02 |
| 1659971240 | Gurpreet Singh Guliani | Psychiatry & Neurology | Univ of Kansas Medical Center 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2020-11-01 |
| 1861092074 | Strategic Family Solutions, LLC | Case Manager/Care Coordinator | 1904 Ne 80th St, Kansas City, MO 64118-1541 | 2020-10-27 |
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1104426659 | Midwest Home Health Care, Inc. | Homemaker | 1 W Armour Blvd Ste 101, Kansas City, MO 64111-2087 | 2020-10-26 |
| 1043819642 | Ashley Chanele Ball | Massage Therapist | 959 W 42nd St Apt 201, Kansas City, MO 64111-4058 | 2020-10-23 |
| 1639778228 | Central Care, Pa | Radiology | 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 | 2020-10-23 |
| Find all providers in KANSAS CITY | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1013210301 | John Henry Beckett | Emergency Medicine | 9415 Ne 91st St, Kansas City, MO 64157-8663 | 2010-12-08 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
| 1639494412 | Lukuman Olumide Afuwape | Emergency Medicine | 2411 Holmes St # M2-302, Umkc School of Medicine Residency Program, Kansas City, MO 64108-2741 | 2010-04-05 |
| 1639365687 | Blaine Mitsuyuki Okino | Emergency Medicine | 920 Main St Ste 300, Kansas City, MO 64105-2008 | 2007-09-23 |
| 1487712808 | Adedapo Adeyemi Oduye | Emergency Medicine | 1600 Genessee St, 561, Kansas City, MO 64102-1039 | 2006-12-05 |
| 1235297920 | Preston Brent Koprivica | Emergency Medicine | 10127 Leavenworth Rd, Kansas City, KS 66109-3050 | 2006-12-05 |
| 1629186770 | Carl Richard Davis | Emergency Medicine | 1102 Ne Parvin Road, #302, Kansas City, MO 64116 | 2006-08-28 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66139 |
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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.