SHANE FOREE SPEARS (NPI# 1336119916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336119916 |
| Entity Type | Individual |
| Full Name | SHANE FOREE SPEARS |
| Credential | PA-C, CCP |
| Practice Address |
2950 Squalicum Pkwy Bellingham WA 98225-1857 |
| Mailing Address |
Po Box 5096 Bellingham WA 98227-5096 |
| Practice Telephone | 3607886063 |
| Practice Fax Number | 3607886817 |
| Mailing Telephone | 3607886063 |
| Mailing Fax Number | 3607886817 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10004751 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I AND CRIME VICTIMS | 0225125 | 01 |
| WA | REGENCE | 1425SP | 01 |
| WA | AETNA | 9468232 | 01 |
| WA | 1336119916 | 05 | |
| WA | 8494445 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912307224 | Shane Spears | Psychologist | 791 Chambers Rd, Aurora, CO 80011-7112 | 2014-08-25 |
| Street Address |
2950 SQUALICUM PKWY |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578547543 | Connie L. Zastrow | Surgery | 2950 Squalicum Pkwy, Suite A, Bellingham, WA 98225-1857 | 2005-12-02 |
| 1568884005 | Natasha Rogall | Physician Assistant | 2950 Squalicum Pkwy, Suite B, Bellingham, WA 98225-1857 | 2014-01-17 |
| 1598190365 | Danielle N. Wiley | Physician Assistant | 2950 Squalicum Pkwy, Suite B, Bellingham, WA 98225-1857 | 2013-09-11 |
| 1083960751 | Mahnaz Lary Md Inc Ps | Internal Medicine | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2012-07-31 |
| 1225341472 | Eric James Crook | Physician Assistant | 2950 Squalicum Pkwy, Suite B, Bellingham, WA 98225-1857 | 2010-07-16 |
| 1285861005 | Jordan Elliott Genut | Surgery | 2950 Squalicum Pkwy, Suite B, Bellingham, WA 98225-1857 | 2009-06-19 |
| 1831380153 | Michelle Eun-sun Sohn | Surgery | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2007-08-05 |
| 1740314772 | Bellingham Ear Nose & Throat | Audiologist-Hearing Aid Fitter | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2007-03-14 |
| 1235222563 | Douglas Wynne | Internal Medicine | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2006-09-30 |
| 1457443186 | Douglas F Wynne Md | Internal Medicine | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1598258659 | Laura Kearin Thiel | Physician Assistant | 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 | 2018-06-12 |
| 1952840324 | Sabra Napolitano | Physician Assistant | 4545 Cordata Pkwy, Suite 1c, Bellingham, WA 98226-7263 | 2017-02-18 |
| 1871773028 | Judson Ramsay Moore | Physician Assistant | 3015 Squalicum Pkwy, Suite 200, Bellingham, WA 98225-1945 | 2007-11-05 |
| 1639362023 | Cynthia A Macklin | Physician Assistant | 2979 Squalicum Pkwy, Suite 203, Bellingham, WA 98225-1811 | 2007-08-20 |
| 1972562643 | Ralph Pierce Zehler IIi | Physician Assistant | 2979 Squalicum Pkwy, Suite 201, Bellingham, WA 98225-1811 | 2006-03-21 |
| 1205895893 | Joseph E Guay | Physician Assistant | 2979 Squalicum Pkwy, Suite 201, Bellingham, WA 98225-1811 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| 1477875011 | Puget Sound Surgical Assistants LLC | Physician Assistant | 14712 134th Ct Ne, Woodinville, WA 98072-4615 | 2010-02-24 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.