Shane R Son (NPI# 1225180698, PAC ID# 6305809856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225180698 |
| PAC ID by PECOS | 6305809856 |
| Professional Enrollment ID | I20041105000881 |
| Full Name | Shane R Son |
| Address |
404 Black Hills Lane Sw Suite D Olympia WA 98502 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500139 | CAPITAL MEDICAL CENTER |
| 501336 | MASON GENERAL HOSPITAL & FAMILY OF CLINICS |
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 404 Black Hills Lane Sw, Suite D, Olympia, WA 98502 |
| Street Address |
404 BLACK HILLS LANE SW SUITE D |
| City | OLYMPIA |
| State | WA |
| Zip | 98502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry E Swartling | Chiropractic | 3663 College St Se F, Lacey, WA 98502 | |
| Donald Michael Soran | Chiropractic | 1115 Black Lake Blvd Sw, Suite A, Olympia, WA 98502-1026 | |
| Nancy Jane Sullivan | Clinical Social Worker | 1800 Cooper Point Sw Rd, 24b, Olympia, WA 98502-1039 | |
| Suzan I Kudick | Chiropractic | 1800 Cooper Point Rd Sw, Suite 24a, Olympia, WA 98502-1039 | |
| Harrison E Williams | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Kristyn M Schlenker | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw B, Olympia, WA 98502-1049 |
| Brad A Payne | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Andrea D Gallo | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Jennifer G Zoller | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Andrew J Byers | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Find all physicians in zip 98502 | |||
| City | OLYMPIA |
| Zip Code | 98502 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OLYMPIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane R Son.
| 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.