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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANE NATHANIEL MCCAULEY, MD

Active Sole Proprietor

DR. SHANE NATHANIEL MCCAULEY, MD is a Occupational Medicine healthcare provider located in BOISE, Idaho. NPI 1083603229 is currently active in the NPPES registry. Verify at CMS.

Occupational Medicine · BOISE, ID

Registration Details

NPI Number
1083603229
Provider Type
Individual
Gender
Male
NPI Issued
Oct 20, 2005 (20.836422237873 yrs)
Last Updated
Nov 5, 2019
Licenses
01059435A (IN)
01059435A (IN)
M-14730 (ID)
01059435A (IN)
M-14730 (ID)
Sole Proprietor
Yes

Practice Information

Address
6051 W EMERALD ST
BOISE, ID, 83704
Browse ID providers · Browse ZIP 83704
Phone
2083027600
Fax
2083027605
Primary Specialty
Occupational Medicine
2083X0100X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
2083A0100X
Additional Specialty
Occupational Medicine

Other Occupational Medicine Providers in BOISE, ID

Name Credential NPI
GLENN C BOTHWELL MD 1235183054
MICHAEL P GIBSON MD 1396789780
MARK NASSIR MD 1649377169
CODY D HEINER MD 1770790313
LOWELL A SCHUKNECHT JR. M.D. 1538339833
DR. MARGARET KAY COOK-SHIMANEK MD 1295907210
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.