SHANA EAGLEFEATHERS (NPI# 1235679796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235679796 |
| Entity Type | Individual |
| Full Name | SHANA EAGLEFEATHERS |
| Credential | DO |
| Practice Address |
6 13th Ave E Polson MT 59860-5315 |
| Mailing Address |
Po Box 262 Liberty Lake WA 99019-0262 |
| Practice Telephone | 4068835680 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MED-PHYS-LIC-876 | MT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Hobart St, Residency Program, Utica, NY 135014308 | 3158011149 | 3158013565 |
| Street Address |
6 13TH AVE E |
| City | POLSON |
| State | MT |
| Zip Code | 59860-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669576 | Kenneth L. Galewyrick | Emergency Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2005-06-16 |
| 1982227443 | Sarah Elizabeth Anderson | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2020-05-19 |
| 1932601796 | Elizabeth Nicole Bassler | Social Worker | 6 13th Ave E, Polson, MT 59860-5315 | 2018-03-07 |
| 1437661113 | Paige J Stone | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2017-11-02 |
| 1992230239 | Corey Gaul | Emergency Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2017-04-24 |
| 1306296249 | Susan Weaselhead | Counselor | 6 13th Ave E, Polson, MT 59860-5315 | 2016-06-21 |
| 1194191569 | Clint Tjelmeland | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2015-08-19 |
| 1134501117 | Maria Mcneil Williams | Nurse Practitioner | 6 13th Ave E, Polson, MT 59860-5315 | 2015-06-25 |
| 1831581669 | Angelia Relph | Nurse Anesthetist, Certified Registered | 6 13th Ave E, Polson, MT 59860-5315 | 2015-03-03 |
| 1346631355 | Katie Bateman | Counselor | 6 13th Ave E, Polson, MT 59860-5315 | 2015-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437680758 | Isaac Billings | Family Medicine | 107 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2017-03-27 |
| 1396008231 | Heidi Woxland | Family Medicine | 106 Ridgewater Dr, Suite A, Polson, MT 59860-8977 | 2012-06-15 |
| 1477727956 | Bernadette N. Corum | Family Medicine | #5 4th Ave. East, Polson, MT 59860 | 2008-04-16 |
| 1114091113 | Cara J Harrop | Family Medicine | 104 Rufus Ln, Polson, MT 59860-8903 | 2006-11-20 |
| 1932273927 | Paul D Gochis | Family Medicine | 107 Ridgewater Dr, Polson, MT 59860-8977 | 2006-11-20 |
| 1245269810 | Daniel P Rausch | Family Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2006-07-03 |
| 1548647290 | Tyler Jay Thorson | Family Medicine | 104 Rufus Ln, Polson, MT 59860 | 2015-05-01 |
| 1962825356 | Mariah Walker Bonner | Family Medicine | 104 Rufus Ln, Polson, MT 59860 | 2014-01-21 |
| 1104268887 | Scot A Swanson | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2013-07-23 |
| 1134561806 | Thomas E Sherry | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2013-07-23 |
| Find all providers in POLSON | ||||
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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.