SUSAN P. SHANE (NPI# 1811959927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811959927 |
| Entity Type | Individual |
| Full Name | SUSAN P. SHANE |
| Credential | M.D. |
| Practice Address |
1 South Prospect Street Fahc Family Medicine, Arnold 4 Burlington VT 05401 |
| Mailing Address |
Po Box 1150 Burlington VT 05402-1150 |
| Practice Telephone | 8028474237 |
| Mailing Telephone | 8028478161 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2013-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 042-0007826 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0009335 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184726861 | Susan Shane | Social Worker | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-09-02 |
| 1366456832 | Susan Lee Shane | Registered Nurse | 390 Founders Way, Suite 1, Forks, WA 98331-9062 | 2006-07-28 |
| Street Address |
1 SOUTH PROSPECT STREET FAHC FAMILY MEDICINE, ARNOLD 4 |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417391251 | Michael A Hoffnung | Psychiatry & Neurology | 1 South Prospect Street, Arnold Level 3, Burlington, VT 05401 | 2013-04-23 |
| 1457613093 | Amy Dinitz | Internal Medicine | 1 South Prospect Street, Uhc Campus, Burlington, VT 05401-5505 | 2012-06-11 |
| 1700043759 | Masha Y Ivanova | Psychologist | 1 South Prospect Street, Uhc St Josephs Wing 3rd Floor, Burlington, VT 05401 | 2008-05-19 |
| 1649286451 | Andrea Elizabeth Green | Pediatrics | 1 South Prospect Street, Uhc Pediatrics, Burlington, VT 05401 | 2006-08-01 |
| 1508871898 | Daniel A Chidpungtam | Psychiatry & Neurology | 1 South Prospect Street, Uhc Campus 6th Floor Psychiatry, Burlington, VT 05401-5505 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594056 | Armc Physicians Care, Inc. | Family Medicine | 3128 Commerce Pl, Burlington, NC 27215-5157 | 2012-11-20 |
| 1215214374 | Westside Ob/gyn Center, Pa | Family Medicine | 1694 Westbrook Ave, Burlington, NC 27215-9700 | 2011-11-03 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| 1851676704 | Urgent Cares of America North Carolina Inc | Family Medicine | 104 Huffman Mill Rd, Burlington, NC 27215-5113 | 2011-10-11 |
| 1235459074 | At Home Physicians, Pllc | Family Medicine | 38 Cliff St, Burlington, VT 05401-4505 | 2010-06-03 |
| 1730342585 | Susan M Tiona | Family Medicine | 49777 County Road V, Burlington, CO 80807-9361 | 2008-07-02 |
| 1316114994 | Rebecca Spoerri-bowman | Family Medicine | 101 Cambridge Street, Suite 380, Burlington, MA 01803-2900 | 2008-05-13 |
| 1588701056 | Jonathan Scott Strenio | Family Medicine | 96 Morrill Dr, Burlington, VT 05408-1112 | 2007-01-31 |
| 1245376300 | Sharon Anne Smith | Family Medicine | 425 Milwaukee Ave, Suite One, Burlington, WI 53105-1230 | 2007-01-29 |
| 1629139829 | John D. Ammon | Family Medicine | 3901 Petersburg Rd, Burlington, KY 41005-8786 | 2006-12-12 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on SUSAN P. SHANE.
| 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.