DR. SHANE COLBY LEAVITT (NPI# 1942417811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942417811 |
| Entity Type | Individual |
| Full Name | DR. SHANE COLBY LEAVITT |
| Credential | M.D. |
| Practice Address |
3726 Broadway Suite 201 Everett WA 98201 |
| Mailing Address |
3726 Broadway Suite 201 Everett WA 98201-3787 |
| Practice Telephone | 4253179119 |
| Practice Fax Number | 4253179118 |
| Mailing Telephone | 4253179119 |
| Mailing Fax Number | 4253179118 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00049382 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116016876 | VA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8510646 | 05 |
| Street Address |
3726 BROADWAY, SUITE 201 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164451225 | Victor Henry Gajewski | Occupational Therapist | 3726 Broadway, Suite 201, Everett, WA 98201 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376612093 | James Glah | Orthopaedic Surgery | 249 Hospital Dr, Everett, PA 15537-7020 | 2006-11-07 |
| 1972550556 | Robin Lynn Madsen | Orthopaedic Surgery | 1100 Pacific Ave Ste 300, Everett, WA 98201-4261 | 2006-05-28 |
| 1811445968 | Apex Surgeons, Ps | Orthopaedic Surgery | 3305 Nassau St, Everett, WA 98201-4140 | 2016-09-19 |
| 1194137968 | Jonathan J Vaux | Orthopaedic Surgery | 3927 Rucker Ave, Everett, WA 98201-4833 | 2014-05-28 |
| 1699195990 | Mithun Neral | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2014-04-24 |
| 1336439116 | Tyler Kent | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201 | 2011-04-13 |
| 1639468259 | Providence Health & Services - Wa | Orthopaedic Surgery | 1717 13th St, Suite 401, Everett, WA 98201-1621 | 2011-04-05 |
| 1770897589 | Siddharth Bhola | Orthopaedic Surgery | 1100 Pacific Ave Ste 300, Everett, WA 98201-4261 | 2010-08-04 |
| 1033352968 | Alireza K Anissipour | Orthopaedic Surgery | 3726 Broadway, Suite 201, Everett, WA 98201-3787 | 2009-04-07 |
| 1700040086 | Meredith C Larsen | Orthopaedic Surgery | 3927 Rucker Ave, Everett, WA 98201-4833 | 2008-07-15 |
| Find all providers in EVERETT | ||||
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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.