Individual
DR. DEAN WOODROW SHANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1799
(208) 782-2991
(208) 785-3876
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1799
(208) 782-2991
(208) 785-3876
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
O-1419
ID
2084P0800X
Psychiatry Physician
OT015224
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
58.030415
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
O-1419
ID
208D00000X
General Practice Physician
OS017403
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103243408
—
PA
01
—
16721C
WY STATE LIC
WY
01
—
MED-PHYS-COM-LIC-135
MT STATE LICENSE
MT
01
—
O-1419
ID STATE MED LIC
ID
01
—
OS017403
STATE LICENSE NUMBER
PA
Enumeration date
05/07/2013
Last updated
04/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us