Elizabeth M Shaker (NPI# 1356633465, PAC ID# 0345481834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1356633465 |
| PAC ID by PECOS | 0345481834 |
| Professional Enrollment ID | I20160912001878 |
| Full Name | Elizabeth M Shaker |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
290 Main St Nw Suite 100 Elk River MN 55330-1251 |
| Phone Number | 7632415800 |
| Gender | F |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240141 | FAIRVIEW NORTHLAND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10961 Club W Pkwy, Suite 200, Blaine, MN 55449-5869 | 7635282992 | FAIRVIEW CLINICS |
| 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 | 7632415800 | FAIRVIEW HEALTH SERVICES |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
290 MAIN ST NW SUITE 100 |
| City | ELK RIVER |
| State | MN |
| Zip | 55330-1251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan J Schoeberl | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Elizabeth J Mclean | Nurse Practitioner | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Lori J Marx | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Kelly M Vevea | Nurse Practitioner | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Joshua D Miller | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Scott E Runde | Podiatry | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Aaron K Pinion | Allergy/immunology | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Cassondra L Dahlheimer-lawson | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Jami T Weiss | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Chad Y Johnson | Qualified Audiologist | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy A Lundgren | Physician Assistant | Fairview Express Care | 19425 Evans St Nw, Elk River, MN 55330-1074 |
| Daniel G Moore | Chiropractic | Bodywise Chiropractic Center | 19260 Evans St Nw, Elk River, MN 55330-1076 |
| Christopher J Slice | Chiropractic | Bodywise Chiropractic Center | 19260 Evans St Nw, Elk River, MN 55330-1076 |
| Sarah H Bolcer | Podiatry | 19230 Evans St Nw, Suite 109, Elk River, MN 55330-1079 | |
| Doha Ibrahim Salem | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| James Christopher Lorge | Orthopedic Surgery | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Oleg Froymovich | Otolaryngology | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| David M Lindgren | Orthopedic Surgery | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Mark Morishige | Orthopedic Surgery | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Christopher T Bryan | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Find all physicians in zip 55330 | |||
| City | ELK RIVER |
| Zip Code | 55330 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | ELK RIVER + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Elizabeth M Shaker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.