Individual provider Active NPI

Shawn J. Crook, DO

  • Anesthesiology Physician
  • Great Falls, MT
National Provider Identifier
1972689636
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
59462 Issued in MT
Practice address
Great Falls Clinic Hospital
3010 15TH Avenue South
Great Falls, MT 59405
Phone
(406) 216-8000
NPI assigned
Oct 27, 2006
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2006018414 MO
Emergency Medicine Physician 207P00000X 2006018414 MO
Anesthesiology Physician 207L00000X 59462 MT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070105000371 MO Practitioner - AnesthesiologyPractitioner - Emergency Medicine 3678573128 Reassigns benefits to 1 organization
I20180119002259 MT Practitioner - Anesthesiology 3678573128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 5890602494, 92 clinicians
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
59462MTMDAnesthesiology Physician
2006018414MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Montana Anesthesiology CurrentSince Apr 3, 2021 Accepting new patients
CMSC, LLC CurrentSince Feb 1, 2018 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1972689636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GREAT FALLS CLINIC HOSPITAL",
            "address_2": "3010 15TH AVENUE SOUTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-216-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREAT FALLS CLINIC HOSPITAL",
            "address_2": "3010 15TH AVENUE SOUTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-216-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S. Osteopathy",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635015643",
            "country_code": "US",
            "telephone_number": "660-785-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROOK",
        "first_name": "SHAWN",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2006018414",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2006018414",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "59462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.