SHANE MICHAEL WILLIAMS (NPI# 1871099309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871099309 |
| Entity Type | Individual |
| Full Name | SHANE MICHAEL WILLIAMS |
| Credential | MD |
| Practice Address |
375 S Chipeta Way Ste A Salt Lake City UT 84108-1261 |
| Practice Telephone | 4402638777 |
| Mailing Telephone | 8015817914 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11405599-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881797660 | Shane Manson Williams | Chiropractor | 319 Abc Unit A, Aspen, CO 81611-3516 | 2006-09-06 |
| 1073157608 | Shane Williams | Occupational Therapist | 535 Flushing Ave, Brooklyn, NY 11205-1610 | 2019-11-06 |
| 1932760766 | Shane Williams | Massage Therapist | 109 Lynch St, Ste B, Wrangell, AK 99929 | 2019-06-24 |
| 1346629037 | Shane Williams | Family Medicine | 2001 W 68th St Ste 202, Hialeah, FL 33016-1801 | 2015-05-27 |
| 1952681421 | Shane Williams | Pharmacist | 121 Se 6th Ave, Topeka, KS 66603-3516 | 2011-08-27 |
| 1437315272 | Shane Anthony Williams | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2008-07-31 |
| 1972690279 | Shane K Williams | Orthopaedic Surgery | 11406 Loma Linda Dr, Loma Linda, CA 92354-3711 | 2006-10-06 |
| Street Address |
375 S CHIPETA WAY STE A |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881033355 | Vlanca Michelle Cantu | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2013-06-18 |
| 1669097630 | Melitza Mejia-centeno | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-06-15 |
| 1467081752 | Richard Harry Wolferz Jr. | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-04-07 |
| 1801425574 | Lyly Tran | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-04-05 |
| 1790314433 | Misha Fotoohi | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-04-04 |
| 1053949099 | Emily Elise Wolfenden | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-03-27 |
| 1538796560 | Matthew Thomas Demarco | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-03-27 |
| 1285261487 | Collin Lash | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-03-26 |
| 1043847452 | Marta Caroline Schenck | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-03-25 |
| 1013544303 | Laura Marie Yeater | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| 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 |
|---|---|---|---|---|
| 1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
| 1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
| 1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
| 1467097071 | Centric Physicians Intermountain Region, Pllc | Family Medicine | 7101 N Mesa Street #365, Salt Lake City, UT 84101-1603 | 2019-11-07 |
| 1760036024 | Mindy Marie Wade | Family Medicine | 1950 E Fort Union Blvd, Salt Lake City, UT 84121-6894 | 2019-07-25 |
| 1841854338 | Tandy Muse | Family Medicine | 4460 S Highland Dr Ste 400, Salt Lake City, UT 84124-3565 | 2019-04-30 |
| 1821561408 | Terra Bowden | Family Medicine | 450 S 900 E Ste 175, Salt Lake City, UT 84102-2981 | 2019-01-07 |
| 1801379193 | Country Corner Family Medicine | Family Medicine | 5460 W Clernates Dr, Salt Lake City, UT 84118-8526 | 2018-09-12 |
| 1396259008 | Futura Medical Clinic | Family Medicine | 1407 W North Temple Ste 120, Salt Lake City, UT 84116-3187 | 2017-11-17 |
| 1255858734 | Fjm Basecamp | Family Medicine | 185 S State St Ste 208, Salt Lake City, UT 84111-1558 | 2017-08-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.