Individual provider Active NPI

Marilyn Gennedy Shook, PA

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1750582847
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA05255 Issued in TX
Practice address
18885 Katy Fwy FL 2
Houston, TX 77094-1103
Phone
(281) 829-2000
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05255 TX
Medical Physician Assistant 363AM0700X PA05255 TX
Surgical Physician Assistant 363AS0400X PA05255 TX Primary

Addresses

Primary practice location

18885 Katy Fwy FL 2
Houston, TX 77094-1103

Mailing address

PO Box 207
Houston, TX 77001-0207
Phone (281) 829-2000

Other practice location 1

2600 North Loop W Ste 100
Houston, TX 77092-8915
Phone (713) 650-6900

Other identifiers 1

IdentifierTypeStateIssuer
8J7704OtherTXMEDICARE INDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000435 TX Practitioner - Physician Assistant 7113019928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates LLPGroup PAC ID 0941285928, 14 clinicians

Practice addresses (Care Compare)

215 Kingwood Executive Dr
Suite 100
Kingwood, TX 77339-2764
Phone (281) 358-4145

Hospital & facility affiliations

  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Surgery Specialty Hospitals of America SE Houston Hospital, Pasadena, TX, CCN 450831

Merit-based Incentive Payment System (MIPS)

Final score
79.38 of 100Reported as group
Quality
73.06
Promoting interoperability
92
Improvement activities
40
Cost
64.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: marilyn.shook.1@25152.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1750582847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770010207",
            "telephone_number": "281-829-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18885 KATY FWY FL 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941103",
            "telephone_number": "281-829-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 North Loop W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770928915",
            "country_code": "US",
            "telephone_number": "713-650-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "MARILYN",
        "middle_name": "GENNEDY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05255",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05255",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA05255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "8J7704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.