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MARCUS SIDNEY SHAKER M.D. NPI 1679686836


NPI Information

NPI: 1679686836
Provider Name: MARCUS SIDNEY SHAKER, M.D.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

Organization: MARY HITCHCOCK MEMORIAL HOSPITAL

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756
Phone: (603) 653-9885
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Marcus Sidney Shaker, M.D. is an allergy allergy immunology in Lebanon, NH with 26 years of experience. Marcus Sidney Shaker, M.D. NPI is 1679686836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756-000
Phone: (603) 653-9885

The NPI 1679686836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergy12538NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VN3844MEDICARE PINVERMONT
21010922MEDICAIDVERMONT
3H84236MEDICARE UPIN
430204685MEDICAIDNEW HAMPSHIRE
5RE7956MEDICARE PINNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.