Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shana K. Eborn, MD

Individual provider Family Medicine Physician · NPI 1780615658

Shana K. Eborn, MD is a Family Practice in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2000, 26 years ago. Practices with Foothill Clinic LLC, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
26
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2295 Foothill Dr
Salt Lake City, UT 84109-4000
Phone: (801) 486-3021
Fax: (801) 485-6339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5945718-1205 (UT)

Record details

NPI number1780615658
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Foothill Clinic Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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