SHANE SELASSIE ANDERSON (NPI# 1952383432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952383432 |
| Entity Type | Individual |
| Full Name | SHANE SELASSIE ANDERSON |
| Credential | MD PHD |
| Practice Address |
1001 Sw Klickitat Way 205 Seattle WA 98134-1161 |
| Mailing Address |
Po Box 34245 Seattle WA 98124-1245 |
| Practice Telephone | 2066227747 |
| Practice Fax Number | 2064671470 |
| Mailing Telephone | 2066227747 |
| Mailing Fax Number | 2064671470 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2010-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
MD00039332 | WA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD00039332 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ST LABOR INDUSTRIES | 142146 | 01 |
| WA | 8416026 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295168433 | Shane Robert Anderson | Otolaryngology | 1106 Beechwood St, Hillcrest, Little Rock, AR 72205 | 2013-08-12 |
| 1750513040 | Shane Michael Anderson | Counselor | 1643 Sr 104, Chillicothe, OH 45601 | 2009-08-20 |
| 1841289659 | Shane Keith Anderson | Internal Medicine | 220 Bannock St, Malad City, ID 83252-1256 | 2005-10-14 |
| 1952863946 | Shane Corbin Anderson | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2019-04-01 |
| 1720523418 | Shane David Anderson | Nurse Practitioner | 6316 Old Oak Ridge Rd, Greensboro, NC 27410-9939 | 2017-01-04 |
| 1497002299 | Shane S Anderson | Pharmacist | 1502 N Vercler Rd, Spokane Valley, WA 99216 | 2012-08-10 |
| 1639461635 | Shane M Anderson | Pharmacist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2011-05-09 |
| 1144208661 | Shane Blake Anderson | Nuclear Medicine | 3551 Roger Brooke Dr, Brooke Army Medical Center, Fort Sam Houston, TX 78234-4504 | 2006-01-04 |
| Street Address |
1001 SW KLICKITAT WAY 205 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98134-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295717346 | Ilya Stone | Pathology | 1001 Sw Klickitat Way, #205, Seattle, WA 98134-1161 | 2005-11-15 |
| 1316204464 | Ashley Watson | Pathology | 1001 Sw Klickitat Way, Suite 205, Seattle, WA 98134-1161 | 2012-04-13 |
| 1548549157 | Psip Laboratory Consultants | Pathology | 1001 Sw Klickitat Way, 205, Seattle, WA 98134-1161 | 2011-08-12 |
| 1720392806 | Puget Sound Institute of Pathology, Pllc | Clinical Medical Laboratory | 1001 Sw Klickitat Way, Suite 205, Seattle, WA 98134-1161 | 2010-08-02 |
| 1639494842 | Charles Ryan Merickel | Pathology | 1001 Sw Klickitat Way, Suite 205, Seattle, WA 98134-1161 | 2010-03-30 |
| 1437368388 | Angie Khue-vi Pham | Pathology | 1001 Sw Klickitat Way, Suite 205, Seattle, WA 98134-1161 | 2007-05-21 |
| 1851427686 | Adam J. Saenz | Pathology | 1001 Sw Klickitat Way, Sw #205, Seattle, WA 98134-1161 | 2007-02-26 |
| 1457428617 | Brian A Folz | Pathology | 1001 Sw Klickitat Way, Suite 205, Seattle, WA 98134-1161 | 2006-11-30 |
| 1891777959 | Michael Howard Kalnoski | Pathology | 1001 Sw Klickitat Way, #205, Seattle, WA 98134-1161 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
| 1861907008 | Norman Fuller | Counselor | 1700 Airport Way S., Seattle, WA 98134 | 2017-12-11 |
| 1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
| 1811399223 | Alexandra Zigman | Physical Therapist | 2245 3rd Avenue South, Seattle, WA 98134 | 2014-09-17 |
| 1427467257 | Soar Academies | Local Education Agency (LEA) | 210 S Hudson, Seattle, WA 98134 | 2014-08-06 |
| 1730514449 | Vanessa G Schmidt | Counselor | 2133 3rd Avenue, Ets Reach, Seattle, WA 98134 | 2013-09-12 |
| 1932544152 | Anne Vickars Heidbrink | Registered Nurse | 3rd Ave South, Seattle School District, Seattle, WA 98134 | 2013-05-01 |
| 1003156324 | West Coast Behavioral Consultants Inc Dba Blueprints | Behavioral Analyst | 910 S. Horton St., Unit 703, Seattle, WA 98134 | 2013-02-22 |
| 1306194998 | George Butchko | Pharmacist | 4401 Fourth Ave S, Seattle, WA 98134 | 2012-08-29 |
| 1134438849 | Tzu S Chiang | Obstetrics & Gynecology | 4735 E. Marginal Way South, Seattle, WA 98134 | 2010-09-29 |
| Find all providers in zip 98134 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316367857 | Paul Dennis Simonson | Pathology | Uwmc Anatomic Pathology, 1959 Ne Pacific, Box 356100, Seattle, WA 98195-0001 | 2014-04-23 |
| 1629413109 | Paula Marie Jenkins Colon | Pathology | Uw Medicine Pathology 1959 Ne Pacific St, Box 357470, Seattle, WA 98195-0001 | 2013-05-09 |
| 1104167550 | Pakc-dsl Inc Ps | Pathology | 550 17th Ave., Ste. 300, Seattle, WA 98122 | 2013-03-11 |
| 1801190186 | Malcolm Scott Stirton | Pathology | 6347 Beach Dr Sw, Seattle, WA 98136-1351 | 2010-12-31 |
| 1063730745 | Bup-jong Jennifer Kum | Pathology | 1124 Columbia St # 8320, Seattle, WA 98104 | 2010-05-05 |
| 1689866501 | Sandra L White | Pathology | 1001 Sw Klickitat Way Ste 205, Psip, Seattle, WA 98134-1161 | 2007-08-14 |
| 1003963950 | Erin Rudzinski | Pathology | 4800 Sandpoint Way Ne, A6901, Department of Laboratories, Seattle, WA 98105 | 2007-01-04 |
| 1578543351 | Joren Brent Keylock | Pathology | 1001 Sw Klickitat Way, Suite 205, Puget Sound Institute of Pathology, Seattle, WA 98134 | 2006-01-18 |
| 1174505226 | Kenneth Alan Meckler | Pathology | 1001 Klickitat Way Sw, #205, Seattle, WA 98134 | 2005-11-15 |
| 1295717346 | Ilya Stone | Pathology | 1001 Sw Klickitat Way, #205, Seattle, WA 98134-1161 | 2005-11-15 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on SHANE SELASSIE ANDERSON.
| 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.