SHAKER PEDIATRICS PC – NPI #1336156223
Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
SHAKER PEDIATRICS PC is a provider located in LATHAM, NY. NPPES has assigned the NPI number 1336156223 to SHAKER PEDIATRICS PC on August 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHAKER PEDIATRICS PC below.
NPI Profile for
SHAKER PEDIATRICS PC
(about 20 years ago)
LATHAM, NY 12110 Phone: (518) 783-5563 Fax: (518) 785-5708
FIRST VICE PRESIDENT
Phone: (518) 783-5563
Identifiers for SHAKER PEDIATRICS PC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BS HENRY NEILLEY MD | 000401569001 | |
| OTHER | BS SHEELA GRANEY MD | 000401340001 | |
| OTHER | BS WILLIAM A PETERSEN MD | 000401387001 | |
| OTHER | CDPHP DAVID SHERWOOD MD | 10044836 | |
| OTHER | CDPHP GROUP | 1007 | |
| OTHER | CDPHP HENRY NEILLEY MD | 10001463 | |
| OTHER | CDPHP MARYLA WARSZAWA-AMB | 10002139 | |
| OTHER | CDPHP SHEELA GRANEY MD | 10021167 | |
| OTHER | CDPHP WM A PETERSEN MD | 10002804 | |
| OTHER | MVP DAVID SHERWOOD MD | 349679 | |
| OTHER | MVP HENRY NEILLEY MD | 26207 | |
| OTHER | MVP MARYLA WARSZAWA-AMB | 26210 | |
| OTHER | MVP SHEELA GRANEY MD | 964787 | |
| OTHER | MVP WILLIAM A PETERSEN MD | 26208 | |
| MEDICAID | NY | 01762674 | |
| MEDICAID | NY | 02094695 | |
| MEDICAID | NY | 00392741 | |
| MEDICAID | NY | 01332856 | |
| MEDICAID | NY | 00962767 | |
| MEDICAID | NY | 01260746 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2080A0000X - Pediatrics / Adolescent Medicine (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.