Jonathan Shader, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

010033 Issued in AZ

Practice address

297 Lake Havasu Ave S Ste 204
Lake Havasu City, AZ 86403-6526

Phone

(928) 490-2121

NPI assigned

Apr 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Specialty

Ophthalmology

Education

Pacific NW Un of HS, Col of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

Merit-based Incentive Payment System (MIPS)

Final score

86.76 of 100Reported as group

Quality

85.08

Improvement activities

40

Cost

75.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathanshader@lprh.medalliesdirect.net
• Direct secure messaging: jshader@shader.intellechartdirect.net
• Direct secure messaging: jonathan.shader.p1@direct.milauskas.nextgenshare.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.

• Shader Vision

  • Ophthalmology Physician
  • Lake Havasu City, AZ
  • NPI 1043041486
  Medicare reassignment NPD Authorized official
• Milauskas Eye Institute Medical Group II Inc

  dba Milauskas Eye Institute

  • Ophthalmology Physician
  • Palm Springs, CA
  • NPI 1740349943
  Medicare reassignment NPD
• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555
  NPD
• Milauskas Eye Institute Medical Group II Inc

  dba Milauskas Eye Institute

  • Ophthalmology Physician
  • Rancho Mirage, CA
  • NPI 1235210584
  NPD
• Milauskas Eye Institute Medical Group II Inc

  dba Milauskas Eye Institute

  • Ophthalmology Physician
  • La Quinta, CA
  • NPI 1295803153
  NPD

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

• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555
  Care Compare affiliation
• La Paz Regional Hospital Inc., Dba Parker Podiatry

  • Podiatrist
  • Parker, AZ
  • NPI 1568875771

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1689038986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 LAKE HAVASU AVE S STE 204",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036526",
            "telephone_number": "928-490-2121",
            "fax_number": "706-721-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 LAKE HAVASU AVE S STE 204",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036526",
            "telephone_number": "928-490-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St # Ba-2720",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309123983",
            "country_code": "US",
            "telephone_number": "706-721-1160",
            "fax_number": "706-721-1158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADER",
        "first_name": "JONATHAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "10760",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "010033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Selk, APRN
• Bryant M Senica, OD
• Serenity Assisted Living
• Prerana Sevak
• Shader Vision
• Nicole Genevieve Shadwick, CRNA
• Khizer Salim Shaikh, M.D.
• Shalom Enterprise
• Jahan Shiravand
• Shirley Noronha MD LLC

• Ophthalmology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.