DR. SHANE JEFFERSON MILLS (NPI# 1699747055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699747055 |
| Entity Type | Individual |
| Full Name | DR. SHANE JEFFERSON MILLS |
| Credential | M.D. |
| Practice Address |
3355 Riverbend Dr Ste 500 Springfield OR 97477-8800 |
| Practice Telephone | 5418689500 |
| Mailing Telephone | 5418689500 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11916 | HI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
162048 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245328111 | Shane Conley Mills | Counselor | 267 White Oak Rd, Lake Elsinore, CA 92530-5182 | 2006-10-10 |
| 1134238769 | Shane Michael Mills | Chiropractor | 300 W Carl Albert Pkwy, Mcalester, OK 74501-4419 | 2006-08-29 |
| 1730176231 | Shane Bradley Mills | Family Medicine | 16420 Rr 620 Ste 104, Round Rock, TX 78681-5794 | 2005-09-30 |
| Street Address |
3355 RIVERBEND DR STE 500 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884497 | Amy D Littlejohn | Physician Assistant | 3355 Riverbend Dr Ste 500, Springfield, OR 97477-8800 | 2006-01-04 |
| 1912451998 | Karen Gibbs | Nurse Practitioner | 3355 Riverbend Dr Ste 500, Springfield, OR 97477-8800 | 2016-08-08 |
| 1548691561 | April Fuller | Nurse Practitioner | 3355 Riverbend Dr Ste 500, Springfield, OR 97477-8800 | 2013-12-01 |
| 1386082386 | Nathan Holman | Internal Medicine | 3355 Riverbend Dr Ste 500, Springfield, OR 97477-8800 | 2013-06-12 |
| 1215272505 | Mallory Fillmore | Physician Assistant | 3355 Riverbend Dr Ste 500, Springfield, OR 97477 | 2012-11-28 |
| 1083977607 | Terrence C Lee | Internal Medicine | 3355 Riverbend Dr Ste 500, Springfield, OR 97477-8800 | 2012-06-19 |
| 1346401445 | Jubeen Moaven | Internal Medicine | 3355 Riverbend Dr Ste 500, Springfield, OR 97477-8800 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578805610 | Paul Edmond St. Romain | Internal Medicine | 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 | 2013-03-26 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
| 1649542713 | Robert Earl Stufflebam | Internal Medicine | 3895 E Pond Apple Dr, Springfield, MO 65809-3752 | 2012-02-03 |
| 1265668263 | Davis L Sim | Internal Medicine | 3355 Riverbend Dr 500, Springfield, OR 97477 | 2009-06-04 |
| 1558549428 | Cheng Zhang | Internal Medicine | 30 W Mccreight Ave Ste 211, Springfield, OH 45504-1853 | 2008-02-04 |
| 1114072444 | John N Green | Internal Medicine | 90 Us Highway 22 W, Springfield, NJ 07081-3110 | 2007-01-25 |
| 1801944632 | Srinivas Channapragada | Internal Medicine | 43 Green Hill Rd, Springfield, NJ 07081-3615 | 2007-01-08 |
| 1598778805 | Challa Ajit | Internal Medicine | 2355 Derr Rd, Springfield, OH 45503-2433 | 2006-08-15 |
| 1215975339 | Gregory Lloyd Lyford | Internal Medicine | 1001 East Primrose St, Springfield, MO 65807 | 2006-06-02 |
| 1467430959 | Harry H Park | Internal Medicine | 1007 Harlow Rd, Ste 210, Springfield, OR 97477-7124 | 2006-01-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.