PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY (NPI# 1700023405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700023405 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY |
| Other Organization Name | SHELTON ORTHOPEDICS |
| Practice Address |
939 Mountain View Dr Suite 130 Shelton WA 98584-4410 |
| Practice Telephone | 3604279549 |
| Practice Fax Number | 3604273661 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | MR. ERIC MOLL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3604279554 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | GROUP MEDICARE PART B PTAN | G000241100 | 01 |
| Other Name | Type Code |
|---|---|
| Shelton Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740642024 | Public Hospital District No 1 of Mason County | Clinic/Center | 2964b Limited Ln Nw, Olympia, WA 98502-4577 | 2016-03-24 |
| 1063658953 | Public Hospital District No 1 of Mason County | Family Medicine | 1701 N 13th St, Shelton, WA 98584-2077 | 2008-12-23 |
| 1366609489 | Public Hospital District No 1 of Mason County | General Acute Care Hospital | 901 Mt View Dr Bldg 1, Shelton, WA 98584-4401 | 2008-05-16 |
| 1639778202 | Public Hospital District No 1 of Mason County | Medicare Defined Swing Bed Unit | 901 Mountain View Dr, Shelton, WA 98584-4401 | 2020-10-23 |
| 1164876629 | Public Hospital District No 1 of Mason County | Clinic/Center | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2016-04-20 |
| 1134573272 | Public Hospital District No 1 of Mason County | Podiatrist | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2016-04-14 |
| 1306275409 | Public Hospital District No 1 of Mason County | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2013-11-08 |
| 1821427527 | Public Hospital District No 1 of Mason County | Clinic/Center | 237 Professional Way, Shelton, WA 98584-4404 | 2013-11-04 |
| 1548699408 | Public Hospital District No 1 of Mason County | Clinic/Center | 24261 North Us Highway 101, Shelton, WA 98548-0279 | 2013-11-01 |
| 1467881326 | Public Hospital District No 1 of Mason County | Clinic/Center | 24261 North Us Highway 101, Hoodsport, WA 98548-0279 | 2013-11-01 |
| Street Address |
939 MOUNTAIN VIEW DR SUITE 130 |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740209394 | Quest Diagnostics Clinical Lab Inc. | Clinical Medical Laboratory | 939 Mountain View Dr, Ste 110, Shelton, WA 98584-4411 | 2006-07-18 |
| 1588215636 | Kirsten Garza | Nurse Practitioner | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2019-09-20 |
| 1912439431 | Glenn Sons Jr. | Physician Assistant | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2017-04-03 |
| 1871967331 | Amber Dawn Carlson | Counselor | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2015-11-20 |
| 1205219417 | James Stauffer | Physician Assistant | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2015-07-07 |
| 1982084216 | Michelle Hamilton | Family Medicine | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2015-06-02 |
| 1598074627 | Lucinda T Boudreau | Physician Assistant | 939 Mountain View Dr, Suite 100, Shelton, WA 98584-4410 | 2010-10-07 |
| 1558685198 | Michael P Henry | Orthopaedic Surgery | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2010-03-25 |
| 1558559476 | Albert Michael Keep | Family Medicine | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2007-10-04 |
| 1538355938 | Douglas A Dightman | Family Medicine | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871646653 | Michael Dana Barnard | Orthopaedic Surgery | 421 N 3rd St, Shelton, WA 98584-3415 | 2007-01-18 |
| 1679557615 | James J Yue | Orthopaedic Surgery | 330 Bridgeport Ave, Shelton, CT 06484-3861 | 2005-12-02 |
| 1164429619 | Ignatius Komninakas | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2005-06-30 |
| 1497384978 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 330 Bridgeport Ave, Shelton, CT 06484-3861 | 2020-04-06 |
| 1467082966 | Neurosurgery, Orthopaedics & Spine Specialists, PC | Orthopaedic Surgery | 2 Ivy Brook Rd, Shelton, CT 06484-6416 | 2020-01-23 |
| 1508151499 | Chanakya Kumar Jandhyala | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2011-06-18 |
| 1558685198 | Michael P Henry | Orthopaedic Surgery | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2010-03-25 |
| 1184948911 | Megan M Gleason | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2010-03-23 |
| 1598924193 | Jeffrey Michael Klauser | Orthopaedic Surgery | 330 Bridgeport Ave, Shelton, CT 06484-3861 | 2008-06-09 |
| 1083794796 | Valley Orthopaedic Specialists LLC | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-10-17 |
| Find all providers in SHELTON | ||||
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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.