Mena A Shaker, MD, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2015-01007 Issued in NC

Practice address

100 Brewster Blvd
Department of Obstetrics and Gynecology
Camp Lejeune, NC 28547-2538

Phone

(814) 244-0789

NPI assigned

Jun 1, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Obstetrics/Gynecology

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

HCA Houston OB Hospitalist, PLLCGroup PAC ID 7416397179, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• HCA Houston OB Hospitalist, PLLC

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1144081431
  Medicare reassignment Care Compare group NPD
• Obhg North Carolina, P.C.

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1124300876
  Medicare reassignment NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment NPD
• Chca West Houston L P

  dba HCA Houston Healthcare West

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1275580938
  NPD (past)
• Questcare Obstetrics PLLC

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1184897159
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1083908644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "address_2": "DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "814-244-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "address_2": "DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "814-244-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKER",
        "first_name": "MENA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2015-01007",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "2015-01007",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NC",
            "license": "2015-01007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bret M Sebastian, DO
• Ryan William Seehafer, DDS
• Katherine E Selleck, O.D.
• Jordan Sellers, M.D.
• Jessica Senbertrand, CSP
• Jordan Shankle
• Mohamed H Sharaf, MD
• Swapnil Sharma, D.O.
• Anthony Shattuck, SOIDC
• James Allan Shaul, D.D.S.

• Obstetrics & Gynecology Physician in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.