Shawn J. Crook, DO
Individual provider Active NPI Anesthesiology Physician · Great Falls, MT
NPI 1972689636 · NPPES record last updated Apr 10, 2018
Key facts
- NPI
- 1972689636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 59462 (MT)
- Practice address
- Great Falls Clinic Hospital
3010 15TH Avenue South
Great Falls, MT 59405 - Phone
- (406) 216-8000
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CMSC LLC
Bothwell Regional Health Center
Practice addresses (Care Compare)
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000
601 E 14TH St
Bothwell Regional Health Center
Sedalia, MO 65301-5972
Phone (660) 826-8833
Hospital & facility affiliations
- Great Falls Clinic Hospital
- Bothwell Regional Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070105000371 | MO | Practitioner - Anesthesiology |
3678573128 | Reassigns benefits to 1 organization |
| I20180119002259 | MT | Practitioner - Anesthesiology | 3678573128 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59462 | MT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Montana | Anesthesiology | Current |
Accepting new patients |
| CMSC, LLC | Current |
Accepting new patients | |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2006018414 | MO | |
| Emergency Medicine Physician | 207P00000X | 2006018414 | MO | |
| Anesthesiology Physician | 207L00000X | 59462 | MT | Yes |
Addresses
Primary practice location
Great Falls Clinic Hospital
3010 15TH Avenue South
Great Falls, MT 59405
Mailing address
Great Falls Clinic Hospital
3010 15TH Avenue South
Great Falls, MT 59405
Phone (406) 216-8000
Other practice location 1
315 S. Osteopathy
Kirksville, MO 63501-5643
Phone (660) 785-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006018414 | Other | MO | STATE MEDICAL LICENSE |
| 59462 | Other | MT | STATE MEDICAL LICENSE |
Other providers in Great Falls, MT
- Jill Crawford
- Kelsey Elizabeth Crawford
- Carol Ann Cress
- Christopher Lyle Crisman
- Alan Crist
- David W Crossley
- Amber Dawn Crossman
- Crossroads Counseling & Consulting Incorporated
- Gregory Daniel Crotser
- Jennifer Cruise
All providers in Great Falls, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.