MARCUS SIDNEY SHAKER


Address: 1 Medical Center Dr, Lebanon, NH 03756-1000
Phone: 6036539885

MARCUS SIDNEY SHAKER (NPI# 1679686836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679686836
Entity Type Individual
Full Name MARCUS SIDNEY SHAKER
Credential M.D.
Practice Address 1 Medical Center Dr
Lebanon
NH 03756-1000
Practice Telephone 6036539885
Mailing Telephone 6036539885
Enumeration Date 2006-08-15
Last Update Date 2011-08-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
12538 NH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NH 30204685 05
VT 1010922 05

Office Location

Street Address 1 MEDICAL CENTER DR
City LEBANON
State NH
Zip Code 03756-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609473917 Lynda Lee Lapan Obstetrics & Gynecology 1 Medical Center Dr, Lebanon, NH 03756-0001 2020-10-08
1114534708 Dartmouth-hitchcock Clinic Clinical Medical Laboratory 1 Medical Center Dr, Lebanon, NH 03756-1000 2020-09-28
1275149858 Makenzie Welch Student in an Organized Health Care Education/Training Program 1 Medical Center Dr, Lebanon, NH 03756-0001 2020-09-19
1598378424 Kelcy Henrique Pharmacist 1 Medical Center Dr, Lebanon, NH 03756-1000 2020-08-29
1164034088 Kris Douglas Halliwell Nurse Practitioner 1 Medical Center Dr, Lebanon, NH 03756-0001 2020-08-21
1275145104 Nicole Faye Hoshiko Dietitian, Registered 1 Medical Center Dr, Lebanon, NH 03756-0001 2020-08-21
1609486703 Melanie Lynn Del Frari Nurse Practitioner 1 Medical Center Dr, Lebanon, NH 03756-0001 2020-08-04
1346858263 Chelsea A Jarosz Physician Assistant 1 Medical Center Dr, Lebanon, NH 03756-0001 2020-07-16
1932717170 Sydney Allen Registered Nurse 1 Medical Center Dr, Lebanon, NH 03756-1000 2020-07-14
1033737143 Matthew David Thomson Registered Nurse 1 Medical Center Dr, Lebanon, NH 03756-1000 2020-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790277796 Sindri Aron Viktorsson Student in an Organized Health Care Education/Training Program Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 2018-06-05
1376078501 Robert G.p. Murray Student in an Organized Health Care Education/Training Program One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 2017-04-25
1063946242 Keira Kilmartin Student in an Organized Health Care Education/Training Program One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 2017-04-14
1194120691 Clearchoicemd Clinic/Center 422 Miracle Mile Rd, Lebanon, NH 03756 2014-10-27
1629380159 Rattanaporn Mahatanan Internal Medicine One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 2010-07-13
1780803833 Kenneth W Travis Anesthesiology Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 2007-04-25
1295950657 Jillian R Ozmore Genetic Counselor, MS Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 2007-04-13
1609961119 Athos John Rassias Anesthesiology Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 2006-10-03
1679592067 Martha J Allen Physician Assistant Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 2006-07-18
1194765768 Joseph Livin Perras II Internal Medicine Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 2006-06-08
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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336160423 Mary Kay Hillinger Allergy & Immunology 1 Medical Center Dr, Dhmc Allergy, Lebanon, NH 03756-1000 2006-07-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801402862 Allergy and Asthma Center Allergy & Immunology 161 Rochester Hill Road, Rochester, NH 03867 2020-09-16
1417147349 Amit Kumar Allergy & Immunology 19 Tyler St Ste 305, Nashua, NH 03060-2951 2007-07-26
1902861032 Nicola M Vogel Allergy & Immunology 9 Buzell Ave Ste 3, Exeter, NH 03833-2522 2006-04-20
1457358566 Robert Hickey Allergy & Immunology 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 2005-07-05
1841479532 Allergy Associates of Nh Pa Allergy & Immunology 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 2007-10-30
1497778120 Jon Michael Brian Vore Sr. Allergy & Immunology 21 E Hollis St, Nashua, NH 03060-2928 2006-07-25
1841236130 Steven Roy Grandgeorge Allergy & Immunology 100 Hitchcock Way, Manchester, NH 03104-4125 2006-06-22
1982601084 Kevin Jon Roelofs Allergy & Immunology 100 Griffin Rd, Unit A, Portsmouth, NH 03801-7158 2005-07-05
1780681809 Joseph Frazer IIi Allergy & Immunology 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 2005-07-05
1033116140 Barbara Deuell Allergy & Immunology 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 2005-07-05
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Competitor

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City LEBANON
Zip Code 03756

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Dataset Information

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.

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