MARILYN GENNEDY SHOOK PA NPI 1750582847

NPI Information

NPI: 1750582847
Provider Name: MARILYN GENNEDY SHOOK, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
18885 KATY FWY FL 2
HOUSTON, TX
ZIP 77094
Phone: (281) 829-2000
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Marilyn Gennedy Shook, PA is a medical physician assistant in Houston, TX with 17 years of experience. Marilyn Gennedy Shook, PA NPI is 1750582847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18885 KATY FWY FL 2
HOUSTON, TX
ZIP 77094-103
Phone: (281) 829-2000

The NPI 1750582847 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 5/29/2007 and was last updated on 2/25/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA05255	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	PA05255	TEXAS	Yes
3	363A00000X	Physician Assistant		PA05255	TEXAS	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8J7704	OTHER	TEXAS	MEDICARE INDIVIDUAL PTAN

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: 4/28/2024

NPI Synchronization or Removal

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