MR. SHAWN ROBERTSON (NPI# 1003309667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003309667 |
| Entity Type | Individual |
| Full Name | MR. SHAWN ROBERTSON |
| Credential | L.AC |
| Practice Address |
2005 Maple St Missoula MT 59808-2025 |
| Practice Telephone | 4065444794 |
| Mailing Telephone | 4065444794 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | MED-ACU-LIC-6714 | MT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962880047 | Shawn Robertson | Emergency Medicine | 45 N Princeton Ave, Villa Park, IL 60181-2336 | 2015-05-11 |
| 1386908176 | Shawn Thomas Robertson | Emergency Medicine | 1901 W Clinch Ave, Fort Sanders Regional Medical Center, Knoxville, TN 37916-2307 | 2012-06-27 |
| 1558489401 | Shawn Robertson | Case Manager/Care Coordinator | 216 W A St, Watonga, OK 73772-4208 | 2007-03-27 |
| Street Address |
2005 MAPLE ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891250536 | Kelsea Pelletier | Counselor | 2005 Maple St, Missoula, MT 59808-2025 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686736 | Mountain Sage Acupuncture Pllc | Acupuncturist | 200 E Pine St, Missoula, MT 59802-4513 | 2020-10-12 |
| 1134782949 | Andrea Rivera | Acupuncturist | 1852 South Ave W, Missoula, MT 59801-6510 | 2019-04-17 |
| 1730697814 | Allison F. France | Acupuncturist | 801 Sherwood St Ste 1-45, Missoula, MT 59802-2659 | 2018-01-11 |
| 1639682560 | Maayan Avni | Acupuncturist | 101 E Broadway St Ste 513, Missoula, MT 59802-4510 | 2017-11-14 |
| 1720459456 | Missoula Acupuncture, Inc | Acupuncturist | 3031 S Russell St Ste 1, Missoula, MT 59801-8523 | 2015-10-07 |
| 1912344375 | Laura Bergoust Connolly | Acupuncturist | 126 E Broadway St Ste 9, Missoula, MT 59802-4565 | 2013-05-25 |
| 1245560218 | Heather Inge Ellsworth | Acupuncturist | 3031 S. Russell St. Ste 1, Missoula, MT 59801 | 2010-01-13 |
| 1356588594 | Karin N. Stallard | Acupuncturist | 315 S 4th St E, Missoula, MT 59801-2744 | 2009-01-09 |
| 1396990982 | Addie R. Harbin | Acupuncturist | 1753 S 14th St W, Missoula, MT 59801-4923 | 2008-11-24 |
| 1033371075 | Cassandra Wind | Acupuncturist | 2240 South Ave W, Missoula, MT 59801-6502 | 2008-07-01 |
| Find all providers in MISSOULA | ||||
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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.