DR. SHANNON JAMES SUMMERS (NPI# 1629497433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629497433 |
| Entity Type | Individual |
| Full Name | DR. SHANNON JAMES SUMMERS |
| Credential | M.D. |
| Practice Address |
2825 Stockyard Rd Ste I-200 Missoula MT 59808-1548 |
| Mailing Address |
Virginia Mason Medical Center 925 Seneca St., H8-gme Seattle WA 98101-2742 |
| Practice Telephone | 4067288420 |
| Practice Fax Number | 4065418430 |
| Mailing Telephone | 2065836079 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MED-PHYS-LIC-811 | MT | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | ML60756168 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 65209-20 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164807913 | Shannon Ann Summers | Dietitian, Registered | 1 Riverside Cir, Hayesville, NC 28904-7946 | 2015-07-22 |
| Street Address |
2825 STOCKYARD RD STE I-200 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245324235 | Darren Francis Gray | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2006-10-03 |
| 1700236403 | Marcus Alexander Arthur | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2016-06-14 |
| 1679983456 | Alexander Horne | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-05-02 |
| 1972913796 | Nikolas Erik Sirs | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808 | 2014-05-01 |
| 1760801096 | Adam Nelson Hofer | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-04-15 |
| 1457779522 | Bryn Van Hoomissen | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-04-04 |
| 1679990956 | Andrew Slupe | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-03-25 |
| 1376980862 | Trey Banbury | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2013-05-24 |
| 1437592987 | Gregory Allen Smith | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808 | 2013-04-15 |
| 1205194727 | Lawrence G Kettwich | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2012-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912420845 | John Alton Harris IIi | Anesthesiology | 3106 Old Pond Rd, Missoula, MT 59802-3255 | 2017-07-23 |
| 1447505045 | Gerald Henry Siemens | Anesthesiology | 5110 Clearview Way, Missoula, MT 59803-2147 | 2012-07-19 |
| 1619002672 | Laurence Vernon Ayres | Anesthesiology | 1605 Snow Bowl Rd, Missoula, MT 59808-9350 | 2007-02-22 |
| 1245324235 | Darren Francis Gray | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2006-10-03 |
| 1861504102 | Bitterroot Anesthesiology | Anesthesiology | 150 Strand Ave, Missoula, MT 59801-5719 | 2006-08-31 |
| 1699765602 | Deann Laree Birnel | Anesthesiology | 835 Speedway Ave, Missoula, MT 59802-5563 | 2005-10-21 |
| 1336138452 | Donald Ehrlich | Anesthesiology | 3550 Mullan Rd, Suite 103, Missoula, MT 59808-5168 | 2005-10-20 |
| 1336138478 | Stephen Kemple | Anesthesiology | 2825 Stockyard Rd, Bldg I 200, Missoula, MT 59808-1503 | 2005-10-20 |
| 1700236403 | Marcus Alexander Arthur | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2016-06-14 |
| 1679983456 | Alexander Horne | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-05-02 |
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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.