Shane B Carson
D.O. | Pediatrics | Male
Shane B Carson, D.O. is a Spokane, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shane B Carson is
1919 S Grand Blvd, Spokane, Washington - 99203-2347. He can be contacted on phone at
509-747-3081 and fax number 509-227-7070.
Shane B Carson is a sole proprietor of his business.
NPI number (Unique professional ID) for Shane B Carson is
1710917299 which was assigned by NPPES on 03 Jul, 2006 and it was last updated on 03 May, 2021.
Shane B Carson license number is
OP00002101 for Pediatrics (208000000X) in Washington.
Shane B Carson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shane B Carson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Shane B Carson |
|---|
| Credential : | D.O. |
|---|
| Gender : | Male |
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Business Address:
Shane B Carson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1919 S Grand Blvd
Spokane, WA, 99203-2347
United States |
|---|
| Phone Number : | 509-747-3081 |
|---|
| Fax Number : | 509-227-7070 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710917299 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jul, 2006 |
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| Last Updated On : | 03 May, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane B Carson are as mentioned. Primary taxonomy code for Shane B Carson, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | OP00002101 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Shane B Carson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8454654 | MEDICAID | WA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | scarson309395@wm.providencedirect.org
| No affiliation | DIRECT
Direct
|
| 1919 S GRAND BLVD,
SPOKANE, WA, 99203-2347
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 421
Liberty Lake, WA, 99019-0421
United States |
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| Phone Number : | 509-747-3081 |
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Business Location:
Patients can refer following map for directions to
Shane B Carson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.