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SHANE CARLSON DANGERFIELD M.D. NPI 1457685919


NPI Information

NPI: 1457685919
Provider Name: SHANE CARLSON DANGERFIELD, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Individual

Specialization: Pediatric Rehabilitation Medicine

Organization: UNIVERSITY OF UTAH PEDIATRIC SERVICES

PECOS Registration: Yes

Address:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2205
Get Directions

Shane Carlson Dangerfield, M.D. is a pediatric rehabilitation medicine physical medicine rehabilitation in Salt Lake City, UT with 15 years of experience. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. Shane Carlson Dangerfield, M.D. NPI is 1457685919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2205

The NPI 1457685919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 12/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics9003692-1205UTAHNo
22081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine4301094767MICHIGANNo
32081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine9003692-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457685919MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.