ELIZABETH SHAKER (NPI# 1356633465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356633465 |
| Entity Type | Individual |
| Full Name | ELIZABETH SHAKER |
| Credential | MD |
| Practice Address |
290 Main St Nw Elk River MN 55330-1270 |
| Mailing Address |
10779 Brookside Trl Champlin MN 55316-2663 |
| Practice Telephone | 7632410373 |
| Mailing Telephone | 4144770712 |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
61199 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
290 MAIN ST NW |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245204346 | Amy L Fair | Pediatrics | 290 Main St Nw, Suite 100, Elk River, MN 55330-1270 | 2006-02-15 |
| 1760956379 | Alissa Joelle Hoyme | Audiologist | 290 Main St Nw, Elk River, MN 55330-1270 | 2019-01-16 |
| 1093268393 | Kelly Vevea | Nurse Practitioner | 290 Main St Nw, Elk River, MN 55330-1270 | 2016-08-03 |
| 1043668494 | Elizabeth Mclean | Nurse Practitioner | 290 Main St Nw, Elk River, MN 55330-1270 | 2016-05-26 |
| 1861889388 | Kathryn Kauffman | Obstetrics & Gynecology | 290 Main St Nw, Elk River, MN 55330-1270 | 2015-04-22 |
| 1255744173 | Cassondra Lane Dahlheimer-lawson | Physician Assistant | 290 Main St Nw, Suite 100, Elk River, MN 55330-1270 | 2014-06-09 |
| 1104259456 | Joshua David Miller | Physician Assistant | 290 Main St Nw, Elk River, MN 55330-1270 | 2013-08-09 |
| 1023352226 | Rebekka Mcclure | Marriage & Family Therapist | 290 Main St Nw, Suite 140, Elk River, MN 55330-1270 | 2012-11-12 |
| 1255642294 | Aaron Pinion | Allergy & Immunology | 290 Main St Nw, Elk River, MN 55330-1270 | 2010-06-24 |
| 1902035405 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 290 Main St Nw, Elk River, MN 55330-1270 | 2009-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1902310154 | Dorothy Jane Hanna | Physical Medicine & Rehabilitation | 10939 Quebec Ave N, Champlin, MN 55316-3261 | 2017-11-27 |
| 1932502267 | Kyle Braulick | Physical Medicine & Rehabilitation | 5025 Edinburgh Way, Big Lake, MN 55309-8271 | 2014-10-01 |
| 1790020949 | Shelby N Kenison | Physical Medicine & Rehabilitation | 28675 740th Ave, Clarks Grove, MN 56016-4041 | 2012-11-29 |
| 1770806374 | Kevin Neil Johnson | Physical Medicine & Rehabilitation | 9913 214th St W Ste B, Lakeville, MN 55044-1914 | 2010-03-10 |
| 1962069864 | Allyson Carol Maynard | Physical Medicine & Rehabilitation | 800 Prairie Center Dr Ste 230, Eden Prairie, MN 55344-7308 | 2019-05-26 |
| 1831672492 | Nathaniel Erik Thomsen | Physical Medicine & Rehabilitation | 300 S Bruce St, Marshall, MN 56258-1934 | 2018-09-10 |
| 1023517364 | Hannah Rhiannon Salisbury | Physical Medicine & Rehabilitation | 3900 Bethel Dr, Arden Hills, MN 55112-6902 | 2018-02-01 |
| 1386006682 | Allison Nicole Schroeder | Physical Medicine & Rehabilitation | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-03-25 |
| 1235530890 | Wade Johnson | Physical Medicine & Rehabilitation | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-09-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.