Mark Shaver, PH.D., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

5015 E. 29TH Street North
'Entrance T'
Wichita, KS 67220

Phone

(316) 978-3289

Fax

(316) 978-7264

NPI assigned

Jul 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  KS

  Medicare reassignment

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1447515440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E 5TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562406",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 E. 29TH STREET NORTH",
            "address_2": "'ENTRANCE T'",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67220",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yulia M Sharshel, CRNA
• Taysir Shash, MD
• Anthony Russell Shaver, APRN
• Drea Lanae Shaver, DNP, APRN, FNP-C
• Erica Shaver
• Timothy S Shaver, MD
• Shaw Plastic Surgery, LLC
• Nina Shaw-Woody, LMSW
• Angela Shaw, LMSW
• Anthony Shaw, MD

• Audiologist-Hearing Aid Fitter in Wichita, KS
• Providers in Wichita, KS by specialty
• Audiologist-Hearing Aid Fitter in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.