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SHANE P BOSSARD M.D.
NPI 1053364448
Emergency Medicine in Salem, VA

Active since May 18, 2006
1970 ROANOKE BLVD, SALEM, VA 24153(540) 982-2463(540) 983-1093 Get Directions Write a Review

NPPES record last updated: November 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane P Bossard M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE P BOSSARD M.D. (NPI 1053364448) is an individual emergency medicine provider in Salem, Virginia, licensed in Virginia (0101236539) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1053364448
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHANE P BOSSARDCredential: M.D.
Location Address1970 ROANOKE BLVDSalem, VA 24153-6404
Mailing Address1970 Roanoke BlvdSalem, VA 24153-6404 · (540) 982-2463 · Fax (540) 983-1093
Phone(540) 982-2463
Fax(540) 983-1093
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateNovember 22, 2012
✔ NPI 1053364448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101236539
Definition
An 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.
1970 ROANOKE BLVD, Salem, VA 24153
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Other Identifiers 4

Medicare UPINI21643
Medicare PIN007731C95
Medicaid010166403VA
Medicare PINP00217769

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MALINDA FAYE SHELOR-ROGERS MSW, ACSW, LCSW
Social Worker (Clinical)
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153
Salem City (540) 982-2463
DR. PETER LEWIS WILLS PHARM.D.
Pharmacist
1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153
Salem City (540) 982-2463
DR. JAMES PAARLBERG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JENNA ST PIERRE PHARMD
Pharmacist
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
LAUREN HAGEMANN PH.D
Psychologist (Clinical)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
TANYA WILLARD NURSE PRACTITIONER
Nurse Practitioner (Family)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JOSETTE ANTOINE LPN
Licensed Practical Nurse
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
DR. JASBIR MAVI M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
1970 ROANOKE BLVD, VAMC SALEM
SALEM, VA 24153
Salem City (540) 982-2463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Bossard's NPI number?

The NPI number for Shane Bossard is 1053364448. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Shane Bossard located?

Shane Bossard practices at 1970 Roanoke Blvd, Salem, VA 24153. The listed phone number is (540) 982-2463.

What is Shane Bossard's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Shane Bossard was last updated on November 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.