CRAIG E SHAMBAUGH (NPI# 1356449052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356449052 |
Entity Type | Individual |
Full Name | CRAIG E SHAMBAUGH |
Credential | MD |
Practice Address |
3021 Ne 72nd Dr Ste 9-316 Vancouver WA 98661-7300 |
Practice Telephone | 3605131233 |
Practice Fax Number | 3609060633 |
Mailing Telephone | (360) 513-1233 |
Mailing Fax Number | 3609060633 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2017-06-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 23785 | OR | Allopathic & Osteopathic Physicians |
Y | 207V00000X | Obstetrics & Gynecology | MD00022812 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1122589 | 05 |
Street Address |
3021 NE 72ND DR STE 9-316 |
City | VANCOUVER |
State | WA |
Zip Code | 98661-7300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
Find all providers in zip 98661 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184047441 | Sea Mar Community Health Center | Obstetrics & Gynecology | 14508 Ne 20th Ave Ste 300, Vancouver, WA 98686-6418 | 2014-01-22 |
1144588013 | Hallie Blyn Gardner | Obstetrics & Gynecology | 700 Ne 87th Ave Ste 150, Vancouver, WA 98664-1913 | 2012-04-30 |
1649420175 | Emilia Campbell Samuel | Obstetrics & Gynecology | 2221 Ne 139th Street, Legacy Salmon Creek, Vancouver, WA 98686 | 2008-09-20 |
1073701470 | Anna Kerlin Bell-hibbs | Obstetrics & Gynecology | 2525 Ne 139th St Ste 270, Vancouver, WA 98686-2719 | 2007-10-10 |
1801811203 | Jonathan Vincent Watt | Obstetrics & Gynecology | 3619 Ne 174th St, Vancouver, WA 98686-1864 | 2006-07-13 |
1407893001 | Caleb Liem | Obstetrics & Gynecology | 8716 E Mill Plain Blvd, Relief Position Only, Vancouver, WA 98668 | 2006-06-01 |
1053372623 | Richard T Kubiniec | Obstetrics & Gynecology | 11801 Ne 65th St, #a, Vancouver, WA 98682-0011 | 2006-03-31 |
1093789596 | Jonathan Erich | Obstetrics & Gynecology | Legacy Salmon Creek Hospital - Family Birth Center, 2211 N.e. 139th Street, Vancouver, WA 98686 | 2006-02-14 |
1366422651 | Colleen L Fox | Obstetrics & Gynecology | 505 Ne 87th Avenue, Suite 160, Vancouver, WA 98664-4897 | 2006-01-20 |
1366446270 | Lisa Michelle Gibbons | Obstetrics & Gynecology | 14508 Ne 20th Ave, Ste 300, Vancouver, WA 98686-6418 | 2005-06-08 |
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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.