Mark Robert Shane (NPI# 1306977467, PAC ID# 3375506884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1306977467 |
| PAC ID by PECOS | 3375506884 |
| Professional Enrollment ID | I20150910001598 |
| Full Name | Mark Robert Shane |
| Address |
1708 Stampede Ave C Cody WY 82414-4826 |
| Gender | M |
| Credential | DC |
| Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
| Graduation Year | 1985 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1708 Stampede Ave C, Cody, WY 82414-4826 |
| Street Address |
1708 STAMPEDE AVE C |
| City | CODY |
| State | WY |
| Zip | 82414-4826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerstin Opitz | Chiropractic | Cody Chiropractic Center PC | 1708 Stampede Ave C, Cody, WY 82414-4826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen L Gee | Neurology | Frontier Neurosciences, LLC | 907 Platinum Ave, Cody, WY 82414 |
| Lauren Jade Seitz | Physician Assistant | Frontier Neurosciences, LLC | 907 Platinum Ave, Cody, WY 82414 |
| Karen Sue Bond | Qualified Speech Language Pathologist | 502 19th St, Cody, WY 82414-3325 | |
| Susan Nannenga | Speech Language Pathologist | Progressive Therapy Services, Inc. | 502 19th St, Cody, WY 82414-3325 |
| Gregory H Cross Jr. | Diagnostic Radiology | Yellowstone Radiology PC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Gregory G Marino | Medical Oncology | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Kim L Slight | Internal Medicine | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Catherine C Schmidt | Anesthesiology | Wyoming Perioperative Anesthesia Consultants LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Robert R Lang | Physician Assistant | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Stephanie L Knodel | Emergency Medicine | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Find all physicians in zip 82414 | |||
| City | CODY |
| Zip Code | 82414 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CODY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Mark Robert Shane.
| 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.