Mary a Shenker Crna PA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C00185 Issued in AR

Legal business name

MARY A SHENKER CRNA PA

Practice address

2900 Medical Center Pkwy
Suite 300
Bentonville, AR 72712-3204

Phone

(501) 227-0700

Fax

(501) 227-0744

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mary A Shenker, CRNANPI 1770599870

Title

Owner

Phone

(501) 227-0700

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mary Alyce Shenker, CRNA

  • Certified Registered Nurse Anesthetist
  • Fayetteville, AR
  • NPI 1770599870

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1437332434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55990",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155990",
            "telephone_number": "501-227-0700",
            "fax_number": "501-227-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MEDICAL CENTER PKWY",
            "address_2": "SUITE 300",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123204",
            "telephone_number": "501-227-0700",
            "fax_number": "501-227-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY A SHENKER CRNA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "SHENKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-227-0700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucero E Martinez-Salas, LCSW
• Edlin Martinez
• Hailey Martinez, MHPP
• Sara Martinez
• Jeffrey Marxen
• Mary Theresa Massary, M.D.
• Caitlyn E Massingill
• Kelsey Master, PA-C
• Andria Mata
• Kembra Lea Mathis, ATC

• Certified Registered Nurse Anesthetist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.