Shaker Emergency Specialists, PLLC

Primary specialty

Medical Toxicology (Emergency Medicine) PhysicianTaxonomy code 207PT0002X

Legal business name

SHAKER EMERGENCY SPECIALISTS, PLLC

Practice address

17201 Interstate 45 S
The Woodlands, TX 77385-3311

Phone

(936) 270-2000

Fax

(602) 431-2149

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Kirsten A Sorensen

Title

Administrator

Phone

(602) 431-1152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerollos Shaker, MD

  • Emergency Medicine Physician
  • Shenandoah, TX
  • NPI 1285167320

  Medical Toxicology

  Medicare reassignment NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1285492108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 E HAZEL DR UNIT 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447776",
            "telephone_number": "602-431-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 INTERSTATE 45 S",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773853311",
            "telephone_number": "936-270-2000",
            "fax_number": "602-431-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER EMERGENCY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-431-1152"
    },
    "taxonomies": [
        {
            "code": "207PT0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munir A Shah, M.D.
• Haitham T Shaheen, MD
• Atif Shahzad, MD
• Jahanzeb Rafi Shaikh, MD
• Shail Maheshwari MD PLLC
• Akeil Shams-Ul-Hooda
• Thomas Oswald Shannon, MD
• Shantell's Pro Screenings
• Jeff Yuan Shao, D.D.S., M.S.
• Bharat Sharma, M.D.

• Emergency Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.