Mary J Shaver, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

C-8466 Issued in AR

Practice address

2445 Christina LN Ste B
Conway, AR 72034-7047

Phone

(501) 279-7077

Fax

(501) 279-3970

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

NephrologyAlso: Internal Medicine

Education

University of Arkansas College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates PAGroup PAC ID 1557342334, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Conway Dialysis Dialysis facility, Conway, AR, CCN 042517
• DaVita College City Dialysis Dialysis facility, Conway, AR, CCN 042598
• Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
• Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
• Ozark Health Hospital, Clinton, AR, CCN 041313
• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
• CHI St Vincent Morrilton Hospital, Morrilton, AR, CCN 041324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary-shaver@ark-napa.e-mdsdirect.com

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.

• Nephrology Associates PA

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1992796924
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Toltec Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Conway, AR
  • NPI 1073010518

  Dialysis facility

  Care Compare affiliation Name & address match
• Baptist Health

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation
• Conway Community Services

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1285005140
  Care Compare affiliation
• Conway Regional Medical Center Inc

  • Rural Health Clinic/Center
  • Vilonia, AR
  • NPI 1063798858

  Hospital

  Care Compare affiliation
• Conway Regional Medical Center Inc

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1497770424
  Care Compare affiliation
• Conway Regional Medical Center Inc

  • Clinical Medical Laboratory
  • Conway, AR
  • NPI 1609123017

  Hospital

  Care Compare affiliation
• Conway Regional Medical Center, Inc

  • Family Medicine Physician
  • Russellville, AR
  • NPI 1245729359

  Hospital

  Care Compare affiliation
• Conway Regional Medical Center, Inc

  • Psychiatry Physician
  • Conway, AR
  • NPI 1730402249

  Hospital

  Care Compare affiliation
• Conway Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • Mayflower, AR
  • NPI 1851389605

  Hospital

  Care Compare affiliation
• Ozark Health, Inc

  • Critical Access Hospital
  • Clinton, AR
  • NPI 1992760342
  Care Compare affiliation
• St Anthony'S Hospital Association

  • Critical Access Hospital
  • Morrilton, AR
  • NPI 1891778049
  Care Compare affiliation

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1497746341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17930",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722227930",
            "telephone_number": "501-663-0490",
            "fax_number": "501-663-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 CHRISTINA LN STE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347047",
            "telephone_number": "501-279-7077",
            "fax_number": "501-279-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8907 Kanis Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056451",
            "country_code": "US",
            "telephone_number": "501-224-8810",
            "fax_number": "501-224-9076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "C-8466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134970001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary-shaver@ark-napa.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMD'S messages",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8907 Kanis Rd Ste 330",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722056451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alaa Mohammed Shahare, DDS
• Shane E. Ford OD PA
• Alexys Shankle
• Savannah Shankles
• Taylor Anne Shapley
• Collie Blevins Shaw, M.D.
• Valeid Sheikh, DO
• Brandon Shelley
• Rachel J Shepherd
• Carrie Beth Sherwood, MHPP

• Nephrology Physician in Conway, AR
• Providers in Conway, AR by specialty
• Nephrology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.