Active NPI
Maha Sabah Shakir, M.D.
- Surgery Physician
- Lake Oswego, OR
National Provider Identifier
1629259742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD27868
- Practice address
- 17704 Jean Way Ste 105
Lake Oswego, OR 97035-5586 - Phone
- (503) 387-5546
- Fax
- (503) 908-0747
- NPI assigned
- Nov 16, 2007
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD27868 | OR | Primary |
Addresses
Primary practice location
17704 Jean Way Ste 105
Lake Oswego, OR 97035-5586
Mailing address
2557 Southshore Blvd
Lake Oswego, OR 97034-5761
Phone (503) 708-8285
Other practice location 1
6542 SE Lake Rd Ste 101
Portland, OR 97222-2245
Phone (503) 387-5546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024156 | Other | OR | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Milwaukie, OR
- NPI 1972983781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629259742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2557 SOUTHSHORE BLVD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970345761",
"telephone_number": "503-708-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17704 JEAN WAY STE 105",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355586",
"telephone_number": "503-387-5546",
"fax_number": "503-908-0747"
}
],
"practiceLocations": [
{
"address_1": "6542 SE Lake Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972222245",
"country_code": "US",
"telephone_number": "503-387-5546",
"fax_number": "503-908-0747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAKIR",
"first_name": "MAHA",
"middle_name": "SABAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD27868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "024156",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.