Active NPI
Mary A Shook, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- West Des Moines, IA
National Provider Identifier
1730167784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 36435
- Practice address
- 1055 Jordan Creek Pkwy
Suite 100
West Des Moines, IA 50266-5821 - Phone
- (515) 358-5450
- Fax
- (515) 358-5951
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 36435 | IA | Primary |
Addresses
Primary practice location
1055 Jordan Creek Pkwy
Suite 100
West Des Moines, IA 50266-5821
Mailing address
405 SW 5TH St
Suite E
Des Moines, IA 50309-4600
Phone (515) 358-5950
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36435 | IA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Past | Accepting new patients | |
| Mercy Clinics, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- Occupational Medicine Physician
- West Des Moines, IA
- NPI 1851765598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1730167784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 SW 5TH ST",
"address_2": "SUITE E",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503094600",
"telephone_number": "515-358-5950",
"fax_number": "515-358-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 JORDAN CREEK PKWY",
"address_2": "SUITE 100",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665821",
"telephone_number": "515-358-5450",
"fax_number": "515-358-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOK",
"first_name": "MARY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IA",
"license": "36435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.