DR. HEIDI MARIE SOLBERG-SHANKLE MD NPI 1003009283

Emergency Medicine in Longview, WA

About HEIDI SOLBERG-SHANKLE

Heidi Solberg-shankle is a provider in Longview, WA with more than 12 years of experience. The NPI number assigned to this provider is 1003009283. The practitioner's primary taxonomy code is Emergency Medicine (207P00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Heidi Solberg-shankle is registered with Medicare and accepts claims assignment.

NPI1003009283 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. HEIDI MARIE SOLBERG-SHANKLE MD
Provider Location Address1615 DELAWARE ST ST. JOHN EMERGENCY DEPARTMENT LONGVIEW, WA 98632 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1615 DELAWARE ST PO BOX 3002 LONGVIEW, WA 98632 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-22-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-06-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. HEIDI MARIE SOLBERG-SHANKLE MD
1615 DELAWARE ST
ST. JOHN EMERGENCY DEPARTMENT
LONGVIEW, WA
ZIP 98632
Phone: (360) 636-4116
Fax: (360) 636-4955
Get Directions

Mailing Address

DR. HEIDI MARIE SOLBERG-SHANKLE MD
1615 DELAWARE ST
PO BOX 3002
LONGVIEW, WA
ZIP 98632
Phone: (360) 636-4116
Fax: (360) 636-4955

Primary Taxonomy

Taxonomy Code207P00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD 60073277
License StateWA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G8882696MEDICARE PIN (08)WA
8543191MEDICAID (05)WA

Map Location


DR. HEIDI MARIE SOLBERG-SHANKLE MD address is 1615 DELAWARE ST ST. JOHN EMERGENCY DEPARTMENT LONGVIEW, WA 98632

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083607253 JAMES J NAKASHIMA MD
Individual
Internal Medicine (Rheumatology)1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2700
1154329324 GEORGE S. FORTNER M.D.
Individual
Surgery (Vascular Surgery)1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 501-3500
1194723346 VIRGINIA S. HUANG M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)1615 DELAWARE ST SUITE 200
LONGVIEW, WA 98632
(360) 501-3500
1215939905 CLIFFORD J SCHOSTAL MD
Individual
Psychiatry & Neurology (Neurology)1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 636-4814
1316943590 R. SCOTT HUGHEY MD
Individual
Internal Medicine1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2727
1356348502 MICHAEL LEE BARTLETT MD
Individual
Family Medicine1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2385
1376549337 LINDA K. JOHNSTON ARNP
Individual
Nurse Practitioner (Adult Health)1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2727
1396743530DR. DANE L. MOSESON M.D.
Individual
Surgery1615 DELAWARE ST SUITE 200
LONGVIEW, WA 98632
(360) 501-3500
1508858002 ELEEN A KIRMAN MD
Individual
Anesthesiology1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2000
1508858812 ZAFER YILDIRIM MD,PHD
Individual
1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-7878
1578560710 SHAWN J. AARON MD
Individual
Family Medicine1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2385
1649262171 MICHAEL I MCNELLIS MD
Individual
Internal Medicine (Pulmonary Disease)1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2730
1649264052DR. TREVOR D. TREDENNICK M.D.
Individual
Emergency Medicine1615 DELAWARE ST DIRECT TO EMERGENCY DEPARTMENT
LONGVIEW, WA 98632
(360) 636-4818
1669473831 THOMAS V. PENCE MD
Individual
Internal Medicine (Nephrology)1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2727
1710985817 MARIO D. FORTE M.D.
Individual
Surgery1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 501-3500
1811995053DR. ANTHONY J. SIMONS M.D.
Individual
Colon & Rectal Surgery1615 DELAWARE ST SUITE 200
LONGVIEW, WA 98632
(360) 501-3500
1841297744 JEFF P JOLLY PA
Individual
Physician Assistant1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2360
1881686194 STEPHANIE B ROBERTS PA
Individual
Physician Assistant1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-7878
1952308967 ERIC DONALD OTTENBACHER PA
Individual
Physician Assistant1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 414-2385
1992703151 STEVEN X. CABRALES M.D.
Individual
Surgery1615 DELAWARE ST
LONGVIEW, WA 98632
(360) 501-3500