DR. SHANE MICHAEL HAWTHORNE (NPI# 1629462189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629462189 |
| Entity Type | Individual |
| Full Name | DR. SHANE MICHAEL HAWTHORNE |
| Credential | MD |
| Practice Address |
155 W 400 N Orem UT 84057-4658 |
| Mailing Address |
830 N 2000 W Pleasant Grove UT 84062-4047 |
| Practice Telephone | 8012241300 |
| Mailing Telephone | 8014431139 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5450642-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
155 W 400 N |
| City | OREM |
| State | UT |
| Zip Code | 84057-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| 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 |
|---|---|---|---|---|
| 1972024586 | Blendtec Health Center | Family Medicine | 1206 S 1680 W, Orem, UT 84058-4938 | 2017-07-05 |
| 1285982108 | Ihc Health Services Inc | Family Medicine | 1378 S 1600 W, Orem, UT 84058-4931 | 2012-08-27 |
| 1245505973 | Utah Valley Urgent Care Pllc | Family Medicine | 960 W 800 N, Orem, UT 84057-3626 | 2012-03-13 |
| 1932337466 | Randall Wells Pace | Family Medicine | 173 N 400 W Ste C11, Orem, UT 84057-1909 | 2009-06-23 |
| 1184814436 | Justin Abbott | Family Medicine | 1975 N State St., Orem, UT 84057-2028 | 2007-08-01 |
| 1851411755 | Jeffrey Paul Clark | Family Medicine | 652 N 1180 E, Orem, UT 84097-5467 | 2007-04-02 |
| 1447332465 | Robert G. Durrans | Family Medicine | 501 E 770 N, Orem, UT 84097-4102 | 2006-10-19 |
| 1891719308 | Kenneth Lyle Crump | Family Medicine | 811 N 900 W, Orem, UT 84057-7701 | 2006-07-27 |
| 1316971179 | Timpanogos Emergency Physicians LLC | Family Medicine | 750 W 800n, Er Dept, Orem, UT 84057 | 2006-07-10 |
| 1659305126 | Donald Neal Harline | Family Medicine | 423 N Orem Blvd, Orem, UT 84057-8813 | 2006-07-10 |
| Find all providers in OREM | ||||
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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.