MR. SHANE MICHAEL ANDERSON (NPI# 1750513040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750513040 |
Entity Type | Individual |
Full Name | MR. SHANE MICHAEL ANDERSON |
Credential | LICDC-CS |
Practice Address |
1643 Sr 104 Chillicothe OH 45601 |
Practice Telephone | 7403134133 |
Practice Fax Number | 7407221784 |
Mailing Telephone | 7403134133 |
Mailing Fax Number | 7407221784 |
Enumeration Date | 2009-08-20 |
Last Update Date | 2018-04-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
81184-CS | OH | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
081184 | OH | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
601 S Edwin C Moses Blvd, Samaritan Behavioral Health, 1st Floor Nw Bldg, Dayton, OH 454173424 | 9377348333 | 9377344343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295168433 | Shane Robert Anderson | Otolaryngology | 1106 Beechwood St, Hillcrest, Little Rock, AR 72205 | 2013-08-12 |
1841289659 | Shane Keith Anderson | Internal Medicine | 220 Bannock St, Malad City, ID 83252-1256 | 2005-10-14 |
1952863946 | Shane Corbin Anderson | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2019-04-01 |
1720523418 | Shane David Anderson | Nurse Practitioner | 6316 Old Oak Ridge Rd, Greensboro, NC 27410-9939 | 2017-01-04 |
1497002299 | Shane S Anderson | Pharmacist | 1502 N Vercler Rd, Spokane Valley, WA 99216 | 2012-08-10 |
1639461635 | Shane M Anderson | Pharmacist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2011-05-09 |
1144208661 | Shane Blake Anderson | Nuclear Medicine | 3551 Roger Brooke Dr, Brooke Army Medical Center, Fort Sam Houston, TX 78234-4504 | 2006-01-04 |
1952383432 | Shane Selassie Anderson | Pathology | 1001 Sw Klickitat Way, 205, Seattle, WA 98134-1161 | 2005-11-18 |
Street Address |
1643 SR 104 |
City | CHILLICOTHE |
State | OH |
Zip Code | 45601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
Find all providers in zip 45601 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003428483 | Thomas Mathew Meyer | Counselor | 84 S Clinton Rd, Chillicothe, OH 45601-9666 | 2020-08-18 |
1891319679 | Kimberly Rodgers | Counselor | 2046 Lunbeck Rd, Chillicothe, OH 45601-8903 | 2020-06-08 |
1720609464 | Molly Renea Fenner | Counselor | 536 Mill St, Chillicothe, OH 45601-2322 | 2020-05-05 |
1801355953 | Stephen Edward Benner | Counselor | 606 Central Center Plaza, Chillicothe, OH 45601-2248 | 2019-03-18 |
1346713674 | Douglas Shaeffer | Counselor | 16643 State Route 104 Ste 1, Chillicothe, OH 45601-9718 | 2019-01-09 |
1710459003 | Dallas Kiger | Counselor | 126 E 2nd St Ste A, Chillicothe, OH 45601-2539 | 2018-12-26 |
1699252601 | Forrest Lee Bowling | Counselor | 19 E 5th St, Chillicothe, OH 45601-3303 | 2018-07-23 |
1437659737 | Maurice David Winfield | Counselor | Po Box 157, Chillicothe, OH 45601-0157 | 2018-02-14 |
1083114383 | Rachelle Christina Gray | Counselor | 84 S Clinton Rd # Po, Chillicothe, OH 45601-9666 | 2018-02-14 |
1992213573 | Alvin Jody Wilson | Counselor | 11402 State Route 50, Chillicothe, OH 45617 | 2018-01-17 |
Find all providers in CHILLICOTHE |
City | CHILLICOTHE |
Zip Code | 45601 |
Please comment or provide details below to improve the information on MR. SHANE MICHAEL ANDERSON.
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.