DR. SHELLY HAUG


Address: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 2523676016

DR. SHELLY HAUG (NPI# 1710277215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710277215
Entity Type Individual
Full Name DR. SHELLY HAUG
Other Name SHELLY HAUG GIVEN
Credential M.D.
Practice Address 3100 Channing Way
Idaho Falls
ID 83404
Mailing Address 11175 Campus Street
Coleman Pavilion Suite 11121
Loma Linda
CA 92354
Practice Telephone 2523676016
Mailing Telephone 9096515746
Enumeration Date 2011-04-18
Last Update Date 2018-08-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
M-14224 ID Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3100 CHANNING WAY
City IDAHO FALLS
State ID
Zip Code 83404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851396519 Jamie L Carter Physician Assistant 3100 Channing Way, Idaho Falls, ID 83404-7533 2005-06-17
1821697681 Taylor Olivia Woodrow Physician Assistant 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-10-22
1154944288 Kristina Stickley Dietitian, Registered 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-05-22
1487274932 Bailey Elizabeth Kimbel Registered Nurse 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-04-24
1952930109 Chris Blaine Student in an Organized Health Care Education/Training Program 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-04-08
1265061493 Bradley Paul Roth Student in an Organized Health Care Education/Training Program 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-04-08
1700415023 Nicole Rosemin Student in an Organized Health Care Education/Training Program 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-04-07
1639708027 Victor Liu Student in an Organized Health Care Education/Training Program 3100 Channing Way, Idaho Falls, ID 83404 2020-04-07
1194354613 Matthew James Baechle Student in an Organized Health Care Education/Training Program 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-04-06
1639707961 Dale Carlson Keller Student in an Organized Health Care Education/Training Program 3100 Channing Way, Idaho Falls, ID 83404-7533 2020-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
1235682121 Mountain Falls Quick Care Clinic/Center 1995 E 17th St #1, Idaho Falls, ID 83404 2016-07-27
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114346749 Jordan Simpson Pediatrics 3100 Channing Way, Idaho Falls, ID 83404-7533 2014-04-10
1790939056 Neonatal Associates, Pllc Pediatrics 3100 Channing Way, Idaho Falls, ID 83404-7533 2008-11-12
1285786046 Patients First Neonatology LLC Pediatrics 3100 Channing Way, Idaho Falls, ID 83404-7533 2007-01-18
1518995026 Robert Wycliffe Cheatham IIi Pediatrics 3100 Channing Way, Idaho Falls, ID 83404-7533 2006-06-30
1023083680 Shannon Jenkins Pediatrics 2860 Channing Way, Suite 100, Idaho Falls, ID 83404-7531 2006-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144269747 Stewart Lawrence Pediatrics 6030 W Emerald St, Boise, ID 83704-8855 2006-06-06
1619263563 Timothy J Ulrich Pediatrics 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2011-06-20
1316191976 Brook Yuknis Lang Pediatrics 2003 Kootenai Health Way, Coeur D Alene, ID 83814 2008-11-10
1427222868 Lisa Lynn Mcgill-vargas Pediatrics 2003 Kootenai Health Way, Coeur D Alene, ID 83814 2008-04-16
1780870360 Nathan L Thornton Pediatrics 190 E Bannock St, Boise, ID 83712-6241 2007-09-18
1083825509 Maggie Chen Pediatrics 2003 Kootenai Health Way, Coeur D Alene, ID 83814 2007-05-25
1558495796 James W Vanlooy Pediatrics 190 E Bannock St, Boise, ID 83712-6241 2007-03-16
1619018470 Kimberly Judd Pediatrics 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2007-02-12
1598828378 Erik N Meyers Pediatrics 190 E Bannock St, Boise, ID 83712-6241 2006-12-19
1790866044 Kendra Mae Black-smith Pediatrics 2003 Kootenai Health Way, Coeur D Alene, ID 83814 2006-10-17
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Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

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.

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