Edward Shane Trantham (NPI# 1043780349, PAC ID# 2860733573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043780349 |
| PAC ID by PECOS | 2860733573 |
| Professional Enrollment ID | I20190408000157 |
| Full Name | Edward Shane Trantham |
| Organization Legal Name | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| Address |
3401 S White Mountain Rd Suite E Show Low AZ 85901-7607 |
| Phone Number | 9285376792 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729205737 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030062 | SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2051 E Evergreen Ln, Suite B/c, Show Low, AZ 85901-7928 | 9285376977 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 9285376371 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| 2450 E Show Low Lake Rd, Suite 2a Bldg 1, Show Low, AZ 85901-7953 | 9285376767 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 | 9285376792 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| 4951 S White Mountain Rd, Bldg A, Show Low, AZ 85901-7801 | 9285376700 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| 5171 Cub Lake Rd, Show Low, AZ 85901-7888 | 9285379944 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| 5300 S Sutter Dr, Suite 1, Show Low, AZ 85901-8055 | 9285379944 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| 114 S White Mountain Ave, Springerville, AZ 85938 | 9283337333 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| Organization Legal Name | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Wade Austin | Hospice/palliative Care | Summit Healthcare Medical Associates | 5171 Cub Lake Rd, Show Low, AZ 85901-7888 |
| Maggie B Price | Physician Assistant | Summit Healthcare Medical Associates | 1121 S Main St, Snowflake, AZ 85937-5645 |
| Scott A Hanson | Physician Assistant | Summit Healthcare Medical Associates | 114 S White Mountain Ave, Springerville, AZ 85938 |
| Quezia Hall | Physician Assistant | Summit Healthcare Medical Associates | 4951 S White Mountain Rd, Bldg A, Show Low, AZ 85901-7801 |
| Darrell Monroe Brimhall | Family Medicine | Summit Healthcare Medical Associates | 590 S Main St, Snowflake, AZ 85937-5228 |
| Burke Gary Delange | Vascular Surgery | Summit Healthcare Medical Associates | 5448 S White Mountain Blvd, Stes 200/210, Lakeside, AZ 85929-5739 |
| Dax K Trujillo | Anesthesiology | Summit Healthcare Medical Associates | 2051 E Evergreen Ln, Suite B/c, Show Low, AZ 85901-7928 |
| Osaf Ahmed | Internal Medicine | Summit Healthcare Medical Associates | 2450 E Show Low Lake Rd, Suite 2a Bldg 1, Show Low, AZ 85901-7953 |
| Nathaniel M Wolkenfeld | General Surgery | Summit Healthcare Medical Associates | 5171 Cub Lake Rd, Show Low, AZ 85901-7888 |
| Scott A Salmon Ii | Urology | Summit Healthcare Medical Associates | 5171 Cub Lake Rd, Show Low, AZ 85901-7888 |
| Street Address |
3401 S WHITE MOUNTAIN RD SUITE E |
| City | SHOW LOW |
| State | AZ |
| Zip | 85901-7607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepa Khari Hague | Nurse Practitioner | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Nicolette Broby | Nurse Practitioner | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Shane Smith | Physician Assistant | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Sara Hart | Clinical Social Worker | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Doris V Reeves | Physician Assistant | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Corwin Ryan Ellsworth | Physician Assistant | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Scott R Hamblin | Internal Medicine | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Gretchen K Schaber | Nurse Practitioner | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Sonnier F Sibley | Physician Assistant | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Chasen Kenneth Halcomb | Physician Assistant | Summit Healthcare Medical Associates | 3401 S White Mountain Rd, Suite E, Show Low, AZ 85901-7607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois R Speelman | Nurse Practitioner | Your Family Practice Team PC | 2051 Evergreen Lane D, Show Low, AZ 85901 |
| Jeffrey R Moore | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Heather John | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Victoria Karim | Audiologist | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 | |
| Salvacion Powell | Nurse Practitioner | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Melissa M Starkel | Clinical Social Worker | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Derek L Ringers | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Michael E Brown | Family Practice | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Gary D Parker | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| William K Horne | Chiropractic | 708 E Deuce of Clubs Ave, Show Low, AZ 85901-4926 | |
| Find all physicians in zip 85901 | |||
| City | SHOW LOW |
| Zip Code | 85901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHOW LOW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Edward Shane Trantham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.