SHANE KASNER (NPI# 1912966763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912966763 |
| Entity Type | Individual |
| Full Name | SHANE KASNER |
| Credential | MD |
| Practice Address |
1790 Blairs Ferry Rd Hiawatha IA 52233-2033 |
| Mailing Address |
Po Box 1824 Cedar Rapids IA 52406-1824 |
| Practice Telephone | 3192945080 |
| Practice Fax Number | 3193937985 |
| Mailing Telephone | 3193694505 |
| Mailing Fax Number | 3193694677 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30805 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1113183 | 05 |
| Street Address |
1790 BLAIRS FERRY RD |
| City | HIAWATHA |
| State | IA |
| Zip Code | 52233-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619611 | Angela D Dolphin | Physician Assistant | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2005-09-12 |
| 1578199816 | Niedermann Pharmacy Inc | Pharmacy | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2020-03-18 |
| 1750923348 | Susan Kay Hacke | Pharmacist | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2019-10-15 |
| 1326695818 | Doug Niedermann | Pharmacist | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2019-08-20 |
| 1811141765 | Stephanie Robinson | Nurse Practitioner | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2008-11-05 |
| 1962608406 | Mercy Physician Associates, Inc | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2007-06-22 |
| 1548220668 | Timothy Quinn | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-03-24 |
| 1598725616 | Timothy Sagers | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-03-24 |
| 1497715676 | Bradley Beer | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-03-23 |
| 1538128384 | Karen Harmon | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336707249 | Jenna Haganman | Dentist | 1090 Sherman Rd, Hiawatha, IA 52233 | 2019-06-05 |
| 1548771629 | Alicia Means | Counselor | 1811 Boyson Rd Ste A, Hiawatha, IA 52233 | 2017-10-17 |
| 1740732270 | Pamela Jean Severson | Counselor | 1350 Boyson Rd Ste D2, Hiawatha, IA 52233 | 2016-11-01 |
| 1902174006 | Excel Chiropractic and Rehab PC | Chiropractor | 1625 Boyson Rd., Suite 104, Hiawatha, IA 52233 | 2011-12-05 |
| 1992099055 | Ross Robert Hausmann | Chiropractor | 1625 Boyson Rd Ste 104, Hiawatha, IA 52233 | 2011-06-07 |
| 1669605937 | Wickwire Chiropractic and Wellness Center P.C. | Chiropractor | 1690 Blairs Ferry Rd, Hiawatha, IA 52233 | 2009-09-02 |
| 1861622292 | Lee Adam Wickwire | Chiropractor | 1690 Blairs Ferry Road, Hiawatha, IA 52233 | 2009-07-20 |
| 1619127388 | Kara Charlotte Gillund | Physical Therapist | 400 Blairsferry Crossing, Hiawatha, IA 52233 | 2008-09-30 |
| 1316105265 | Stephen Edwin Broad | Dentist | 1055 North Center Point Road, Hiawatha, IA 52233 | 2008-05-28 |
| 1699820597 | City of Hiawatha | Ambulance | 60 10th Avenue, Hiawatha, IA 52233 | 2007-01-24 |
| Find all providers in zip 52233 | ||||
| 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 |
|---|---|---|---|---|
| 1114451424 | Mercy Care Management, Inc | Family Medicine | 1195 Boyson Rd Fl 1, Hiawatha, IA 52233-2214 | 2017-04-13 |
| 1043440811 | Divya Narayanaswamy | Family Medicine | 1001 N Center Point Rd, Suite C, Hiawatha, IA 52233-1236 | 2009-07-15 |
| 1679630610 | Hiawatha Hospital Association Inc | Family Medicine | 300 Utah St Fl 2, Hiawatha, KS 66434 | 2007-01-02 |
| 1720198484 | Searight Family Practice, Pa | Family Medicine | 313 Utah Street, Hiawatha, KS 66434 | 2006-08-30 |
| 1750326864 | Carol A Gunnett | Family Medicine | 1350 Boyson Road, Bldg C, Hiawatha, IA 52233 | 2006-06-20 |
| 1851339121 | Deborah Diane Stoner-bryan | Family Medicine | 503 Oregon St, Hiawatha, KS 66434-2221 | 2006-06-02 |
| 1528029501 | Brian David Ray | Family Medicine | 400 S. Blairsferry Crossing, Suite A, Hiawatha, IA 52233-7988 | 2006-03-30 |
| 1710963889 | Alecia P Allen | Family Medicine | 400 S Blairsferry Xing, Suite A, Hiawatha, IA 52233-7988 | 2005-12-20 |
| 1215934179 | Matthew J Roes | Family Medicine | 754 N Center Point Rd, Hiawatha, IA 52233-1226 | 2005-07-06 |
| 1134695182 | Pillar Health, LLC | Family Medicine | 1350 Boyson Rd, Bldg D Ste 3, Hiawatha, IA 52233-5223 | 2018-10-17 |
| Find all providers in HIAWATHA | ||||
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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.