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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Dr. Shannon R Staker

MD

Pediatrics

NPI: 1023078045Roosevelt, Utah, 84066(435) 722-3971Female
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About Dr. Shannon R Staker

Dr. Shannon R Staker, MD, is a female healthcare professional specializing in Pediatrics, registered under National Provider Identifier (NPI) number 1023078045. Dr. Shannon R Staker received her medical education at UNIVERSITY OF UTAH SCHOOL OF MEDICINE, graduating in 1997.

Their primary practice is located at 210 W 300 N 75-3, Roosevelt, Utah 84066. Patients can reach the office at (435) 722-3971. In addition to the primary location, Dr. Shannon R Staker maintains 1 additional practice location.

Dr. Shannon R Staker is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications. Dr. Shannon R Staker has been NPI-registered since 2006.

Key Metrics

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1023078045
Entity Type
Individual
First Name
Shannon
Last Name
Staker
Credential
MD
Gender
Female
Medical School
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year
1997
Status
active

Primary Practice Location

Address
210 W 300 N 75-3
City
Roosevelt
State
Utah
ZIP
84066
Country
United States
Phone
(435) 722-3971
Fax
(435) 722-6104

Specialty & Taxonomy

Primary Specialty
Pediatrics
Classification
Pediatrics
Taxonomy Code
208000000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
210 W 300 N 75-3
City
ROOSEVELT
State
UT
ZIP
84066

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Dr. Shannon R Staker's NPI number?
Dr. Shannon R Staker's National Provider Identifier (NPI) is 1023078045. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Shannon R Staker specialize in?
Dr. Shannon R Staker specializes in Pediatrics. They received their medical education at UNIVERSITY OF UTAH SCHOOL OF MEDICINE (class of 1997).
Where is Dr. Shannon R Staker located?
Dr. Shannon R Staker practices at 210 W 300 N 75-3, Roosevelt, Utah 84066. You can reach them by phone at (435) 722-3971. They also have 1 additional practice location.
Does Dr. Shannon R Staker accept Medicare?
Yes, Dr. Shannon R Staker is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Shannon R Staker offer telehealth or virtual visits?
Dr. Shannon R Staker does not currently offer telehealth services. In-person visits are required at their practice location.
Can Dr. Shannon R Staker prescribe medications?
Yes, Dr. Shannon R Staker is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Shannon R Staker is 1023078045.