SHANE MAROON (NPI# 1518483775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518483775 |
| Entity Type | Individual |
| Full Name | SHANE MAROON |
| Credential | CMT |
| Practice Address |
330 E Pine St Exeter CA 93221-1838 |
| Mailing Address |
37535 Cardinal Ln Squaw Valley CA 93675-9723 |
| Practice Telephone | 5595922134 |
| Mailing Telephone | 5599078111 |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2017-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 74051 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
330 E PINE ST |
| City | EXETER |
| State | CA |
| Zip Code | 93221-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750369401 | Maria Ximena Simonuvic | Pediatrics | 330 E Pine St, Exeter, CA 93221-1838 | 2006-01-04 |
| 1699337949 | Family Healthcare Network | Clinic/Center | 330 E Pine St, Exeter, CA 93221-1838 | 2019-07-07 |
| 1962806521 | Leslee Heuer | Nurse Practitioner | 330 E Pine St, Exeter, CA 93221-1838 | 2014-10-10 |
| 1053431882 | Cynthia D Shipp-rowell | Nurse Practitioner | 330 E Pine St, Exeter, CA 93221-1838 | 2007-03-29 |
| 1538215934 | Lanora J Cook | Nurse Practitioner | 330 E Pine St, Exeter, CA 93221-1838 | 2007-01-26 |
| 1215083621 | Joanne Beattie | Nurse Practitioner | 330 E Pine St, Exeter, CA 93221-1838 | 2007-01-26 |
| 1265580500 | San Joaquin Prime Care Medical Group Inc | Family Medicine | 330 E Pine St, Exeter, CA 93221-1838 | 2007-01-05 |
| 1154344927 | Stefan I Pentschev | Family Medicine | 330 E Pine St, Exeter, CA 93221-1838 | 2006-07-25 |
| 1891748752 | Sheila Scheinesson | Physician Assistant | 330 E Pine St, Exeter, CA 93221-1838 | 2006-05-19 |
| 1972561272 | Torey Sue Ivanic | Physician Assistant | 330 E Pine St, Exeter, CA 93221-1838 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255766069 | Annita Ruth Regehr | Counselor | 125 S. 'f' St., Exeter, CA 93221 | 2013-09-11 |
| 1760609168 | Martina Gutierrez | Student in an Organized Health Care Education/Training Program | 514-516 N. Kaweah, Exeter, CA 93221 | 2007-04-19 |
| 1063638823 | Darren L Rich | Dentist | 140 S B St, Exeter, CA 93221 | 2007-04-18 |
| 1033127014 | Exeter District Ambulance | Ambulance | 302 East Palm Street, Exeter, CA 93221 | 2006-08-04 |
| 1942221171 | R Douglas Owen Do Inc | Family Medicine | 244 N Kaweah Ave, Exeter, CA 93221 | 2006-07-22 |
| 1417909615 | Ann E. Hickey | Internal Medicine | 560 South Elberta Road, Exeter, CA 93221 | 2006-05-16 |
| 1629029194 | Talaksoon Khademi | Obstetrics & Gynecology | 1014 San Juan Ave., Exeter, CA 93221 | 2006-05-12 |
| 1518402858 | Teresa De Jesus Cruz | Counselor | 516 N Kaweah Ave, Exeter, CA 93221 | 2016-12-22 |
| 1871726133 | Vance Physical Therapy and Wellness Inc | Clinic/Center | 511 W Visalia Rd, Exeter, CA 93221 | 2009-09-02 |
| 1912039959 | Ramiro Mena Raya Jr. | Counselor | 516 N Kaweah Ave, Exeter, CA 93221 | 2007-03-12 |
| Find all providers in zip 93221 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104651 | Marie D Doucette | Massage Therapist | 2 Anna Louise Dr, Exeter, NH 03833-4577 | 2020-11-08 |
| 1891393047 | Karen F Drelick | Massage Therapist | 1 Hampton Rd Unit 304, Exeter, NH 03833-4849 | 2020-10-10 |
| 1942841291 | Tammy Fernandes | Massage Therapist | 511 W Visalia Rd, Exeter, CA 93221-1019 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
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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.