SHANE A ZIM (NPI# 1003928896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003928896 |
| Entity Type | Individual |
| Full Name | SHANE A ZIM |
| Credential | M.D. |
| Practice Address |
217 W Cataldo Ave Spokane WA 99201-2217 |
| Mailing Address |
Po Box 2242 Spokane WA 99210-2242 |
| Practice Telephone | 5096242326 |
| Practice Fax Number | 5092522837 |
| Mailing Telephone | 5096242326 |
| Mailing Fax Number | 5092522837 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD60489025 | WA | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD60489025 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2047218 | 05 |
| Street Address |
217 W CATALDO AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326024092 | Frederick Paul French | Surgery | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2005-12-15 |
| 1558989442 | Brittany Richelle Martin | Nurse Practitioner | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2020-07-08 |
| 1811541527 | Hannah Jones | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2019-07-31 |
| 1760963698 | Jessica Lil Anderies | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2018-08-28 |
| 1124532502 | Ennessa Ivy Gorkovchenko | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2017-11-21 |
| 1811423593 | Lucas Shulman | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201 | 2017-05-02 |
| 1013441336 | Edward Hans Kaio | Hearing Instrument Specialist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2017-04-13 |
| 1306390703 | Nadine E King | Hearing Instrument Specialist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-08-15 |
| 1972963098 | Columbia Surgical Specialists | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-03-02 |
| 1437519568 | Suzanne Reed | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437109634 | Neil John Okeefe | Otolaryngology | 5901 N Mayfair, Spokane, WA 99208-1127 | 2006-05-11 |
| 1629028022 | Robert Allen Bonneau | Otolaryngology | 217 W Cataldo, Spokane, WA 99201-2217 | 2006-05-10 |
| 1417243668 | Jordan Paul Sand | Otolaryngology | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2011-06-27 |
| 1629398706 | David G Stoddard | Otolaryngology | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2010-06-11 |
| 1942491196 | Brian James Mitchell | Otolaryngology | 217 W Cataldo, Spokane, WA 99201 | 2007-08-05 |
| 1932309135 | Michael Preston Hubbell | Otolaryngology | 400 E 5th Ave, Spokane, WA 99202-1334 | 2007-07-25 |
| 1750486874 | Carrie Ann Roller | Otolaryngology | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2006-09-13 |
| 1417067372 | Columbia Surgical Specialists, Ps | Otolaryngology | 217 W Cataldo, Spokane, WA 99201-2217 | 2006-08-30 |
| 1629029780 | Gary Eugene Cantlon | Otolaryngology | 217 W Cataldo, Spokane, WA 99201-2217 | 2006-05-13 |
| 1083665145 | Michael Joseph Cruz | Otolaryngology | 217 W Cataldo, Spokane, WA 99201-2217 | 2006-05-13 |
| Find all providers in SPOKANE | ||||
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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.