MARY J SHAVER (NPI# 1497746341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497746341 |
| Entity Type | Individual |
| Full Name | MARY J SHAVER |
| Credential | M.D. |
| Practice Address |
8907 Kanis Rd Ste 330 Little Rock AR 72205-6451 |
| Mailing Address |
Po Box 17930 Little Rock AR 72222-7930 |
| Practice Telephone | 5012248810 |
| Practice Fax Number | 5012249076 |
| Mailing Telephone | 5016630490 |
| Mailing Fax Number | 5016635948 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
C-8466 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 134970001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457702078 | Mary Shaver | Social Worker | 2630 S Wabash Ave, Chicago, IL 60616-2825 | 2016-06-24 |
| Street Address |
8907 KANIS RD STE 330 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992796924 | Nephrology Associates Pa | Internal Medicine | 8907 Kanis Rd Ste 330, Little Rock, AR 72205-6451 | 2005-10-31 |
| 1174041818 | Emily Allen | Nurse Practitioner | 8907 Kanis Rd Ste 330, Little Rock, AR 72205-6451 | 2017-09-01 |
| 1629518683 | Nicole Danise Bates | Nurse Practitioner | 8907 Kanis Rd Ste 330, Little Rock, AR 72205-6451 | 2017-02-24 |
| 1053302893 | Gregory S Bienvenu | Internal Medicine | 8907 Kanis Rd Ste 330, Little Rock, AR 72205-6451 | 2005-11-01 |
| 1437140373 | Alex S David | Internal Medicine | 8907 Kanis Rd Ste 330, Little Rock, AR 72205-6451 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075121 | Ronald Hughes | Internal Medicine | 4919 Stonewall Rd, Little Rock, AR 72207-4735 | 2016-03-17 |
| 1255543278 | Prajwal Chevireddy | Internal Medicine | 9601 Baptist Health Dr Ste 350, Little Rock, AR 72205-6356 | 2007-05-03 |
| 1932202819 | Muhammad G Alam | Internal Medicine | 500 S University Ave Ste 508, Little Rock, AR 72205-5306 | 2006-09-06 |
| 1518904523 | Scott Macgregor Young | Internal Medicine | 9500 Kanis Rd Ste 310, Little Rock, AR 72205-6339 | 2006-05-31 |
| 1942277843 | Moses C Ejiofor | Internal Medicine | 1515 Kanis Park Dr, Suite B, Little Rock, AR 72205-4569 | 2006-03-01 |
| 1841270774 | Joel Dworkin | Internal Medicine | 500 S University, Suite 214, Little Rock, AR 72205 | 2006-01-18 |
| 1780675637 | Jayton A Lim | Internal Medicine | 2 Lile Ct, Suite 102b, Little Rock, AR 72205-6221 | 2005-10-31 |
| 1992796924 | Nephrology Associates Pa | Internal Medicine | 8907 Kanis Rd Ste 330, Little Rock, AR 72205-6451 | 2005-10-31 |
| 1588666895 | John Kevin Heifner | Internal Medicine | 9601 Baptist Health Dr Ste 400, Little Rock, AR 72205-6399 | 2005-06-01 |
| 1245712215 | Rajendra Mandalapu | Internal Medicine | 4301 W Markham St # 795, Little Rock, AR 72205-7101 | 2018-09-05 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.