Dr. Shaker LTD.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

DR. SHAKER LTD.

Practice address

11771 Maumelle Blvd
North Little Rock, AR 72113-6558

Phone

(501) 204-0302

Fax

(501) 573-4111

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shaker Qaqish, MDNPI 1184914723

Title

Authorized Official/Physician Owner

Phone

(310) 985-5081

Specialties & licenses 1

Addresses

Other names 1

• Central Arkansas Access Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

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

• Shaker Samih Qaqish, MD

  • Nephrology Physician
  • North Little Rock, AR
  • NPI 1184914723
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1407546518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11771 MAUMELLE BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136558",
            "telephone_number": "501-204-0302",
            "fax_number": "501-573-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11771 MAUMELLE BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136558",
            "telephone_number": "501-204-0302",
            "fax_number": "501-573-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHAKER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "QAQISH",
        "authorized_official_first_name": "SHAKER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PHYSICIAN OWNER",
        "authorized_official_telephone_number": "310-985-5081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Arkansas Access Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Bryant Ashley, Jr.
• Dr. Dennis L. Wingfield, PA
• Dr. Kerry Moon, D.D.S., PLLC
• Dr. Kevin M Dugan D,D,S P.a
• Dr. Paul Dean, D.D.S., P.a.
• Adrienne A'Della Dredd
• Hannah Elizabeth Dresser, RD
• Drew Bannerman DDS, P.a.
• Laurel De Werff Drew, OT
• April Elizabeth Drinkwater, LMSW

• Nephrology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Nephrology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.