DR. SHANE GARY MACHEN


Address: 1995 E 17th St, Idaho Falls, ID 83404-6493
Phone: 2085227666

DR. SHANE GARY MACHEN (NPI# 1932330370) 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) 1932330370
Entity Type Individual
Full Name DR. SHANE GARY MACHEN
Credential D.O.
Practice Address 1995 E 17th St
Idaho Falls
ID 83404-6493
Practice Telephone 2085227666
Practice Fax Number 2085242821
Mailing Telephone 2085227666
Mailing Fax Number 2085242821
Enumeration Date 2009-08-03
Last Update Date 2011-12-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine O-0611 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 1995 E 17TH ST
City IDAHO FALLS
State ID
Zip Code 83404-6493

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295738797 Eric A Wingerson Internal Medicine 1995 E 17th St, St. #4, Idaho Falls, ID 83404-6493 2005-05-27
1609492347 Jason T Rinker Physician Assistant 1995 E 17th St, Idaho Falls, ID 83404-6493 2020-06-18
1942836911 Amerihealth Inc Psychologist 1995 E 17th St, Idaho Falls, ID 83404-6493 2020-03-20
1730652280 Brandy Lee Larson Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2019-01-08
1104320324 Daniel Joseph Barney Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2018-03-21
1962919662 Derek Richard Whitmill Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2018-01-03
1134647019 Randall James Law Physician Assistant 1995 E 17th St, Idaho Falls, ID 83404-6493 2017-08-31
1417498890 Kara Dee Boll Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2017-03-17
1932526373 Mountain Falls Medical LLC Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2014-03-24
1205179751 Jacob Wayne Moss General Practice 1995 E 17th St, Idaho Falls, ID 83404-6493 2013-04-03
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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 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740663806 Rindfleisch Family Practice Pllc Family Medicine 4954 E Powerhouse Dr, Idaho Falls, ID 83406-5064 2015-07-07
1013204445 Machen Family Medicine, PC Family Medicine 1995 E 17th St Ste A, Idaho Falls, ID 83404-6493 2011-07-06
1942521109 Luke N/a Haws Family Medicine 2985 Cortez Ave Ste 200, Idaho Falls, ID 83404-7554 2010-06-22
1689993271 David Lyle Hill Family Medicine 3242 S Woodruff, Idaho Falls, ID 83404-7531 2010-05-23
1912120544 James William Brook Family Medicine 905 Austin Ave, Idaho Falls, ID 83404 2007-04-11
1437294345 Oliver Daniel Smith Family Medicine 3669 Ellendale Circle, Idaho Falls, ID 83406 2007-02-20
1023151156 Physician Skin Care Family Medicine 730 S Woodruff Ave, Idaho Falls, ID 83401-5285 2007-02-15
1598837031 Anne L Broadway Family Medicine 2730 Channing Way, Idaho Falls, ID 83404-5049 2006-11-13
1235217506 Reed Ivol Ward Family Medicine 3425 Potomac Way, Idaho Falls, ID 83404-4970 2006-11-02
1770688426 Tony Craig Roisum Family Medicine 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404-8332 2006-09-14
Find all providers in IDAHO FALLS

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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