SHANE LEE GRAHAM (NPI# 1376762104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376762104 |
Entity Type | Individual |
Full Name | SHANE LEE GRAHAM |
Credential | PA-C |
Practice Address |
915 Highland Blvd Attn: Perioperative Services Bozeman MT 59715-6902 |
Practice Telephone | 4065851018 |
Practice Fax Number | 4065871026 |
Mailing Telephone | 4065851018 |
Mailing Fax Number | 4065871026 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2011-07-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 623 | MT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
915 HIGHLAND BLVD ATTN: PERIOPERATIVE SERVICES |
City | BOZEMAN |
State | MT |
Zip Code | 59715-6902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720070675 | Matthew William Wright | Hospitalist | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2005-08-17 |
1659979789 | Jenny Jane Welsh | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2020-10-12 |
1063060143 | Clarissa Drill | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2019-08-31 |
1700375730 | Melissa Hance | Pharmacist | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2018-05-04 |
1891203790 | Kelsey Lau Elkins | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2018-01-14 |
1851826028 | Gabriella Torti | Internal Medicine | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2017-04-26 |
1740739200 | Andrea Kate Lachniet | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2016-09-26 |
1841746674 | Michelle Deming | Dietitian, Registered | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2016-08-31 |
1720438138 | Ani Haas | Speech-Language Pathologist | 915 Highland Blvd, Bozeman, MT 59715 | 2016-06-16 |
1710342779 | Morgan Ashley Rhinard | Dietitian, Registered | 915 Highland Blvd, Attn: Clinical Nutrition, Bozeman, MT 59715-6902 | 2015-12-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
Find all providers in zip 59715 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912505769 | Abigail Freeman | Physician Assistant | 4046 Sunstone St Unit B, Bozeman, MT 59718-3512 | 2020-10-14 |
1437626751 | Janel Lea Allison-shamblin | Physician Assistant | 1232 N 15th Ave Ste 1, Bozeman, MT 59715-3299 | 2018-10-24 |
1245757038 | Katherine Hammonds | Physician Assistant | Po Box 173260, Bozeman, MT 59717-3260 | 2017-08-23 |
1992147516 | Barbara Jean Neuman | Physician Assistant | 1600 Ellis St Ste 3b, Bozeman, MT 59715-8837 | 2013-07-24 |
1740532290 | Julia E Marsik | Physician Assistant | 1648 Ellis St Ste 301, Bozeman, MT 59715-8811 | 2012-10-09 |
1760764054 | Crystal L Skovly | Physician Assistant | 1 Bobcat Circle, Bozeman, MT 59715-3380 | 2011-09-13 |
1093979155 | Stephen Michael Cottle | Physician Assistant | 536 Cottonwood Rd., Suite 100, Bozeman, MT 59718 | 2008-07-17 |
1902972862 | Catherine Ina Ebelke | Physician Assistant | Swingle Student Health Center Montana State University, Bozeman, MT 59717-3260 | 2006-11-24 |
1750464467 | Scott M. Dreblow | Physician Assistant | 300 N. Willson Ave, Suite 703g, Bozeman, MT 59715 | 2006-10-24 |
1962597757 | Hannah Smith | Physician Assistant | 100 Swingle Building, Msu Bozeman, Bozeman, MT 59717 | 2006-10-04 |
Find all providers in BOZEMAN |
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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.