Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497892061 Individual Practitioner Male Practitioner

Dr. Chandra R. Shaker , MD, FAAP

Pediatrics • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Dr. Chandra Shaker, MD, FAAP is a registered healthcare professional specializing in Pediatrics in Mansfield, OH. Practice services are available at 120 STURGES AVE STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

120 Sturges Ave Ste 1

Mansfield, OH 449032399

Telephone 4195225454
Fax 4195222981
Associated Practice Facility / Clinic
🏢 Richland Pediatrics Inc Facility NPI 1366443301

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mansfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Mansfield, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35042404S

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0370781 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jane Henderson

Nurse Practitioner - Family

NPI 1093204323
NPI 1275689788

Doctor of Medicine (M.D.)

Holly Webster , RN

Nurse Practitioner - Pediatrics

NPI 1750135786

Registered Nurse

Cassondra Stauffer , NP-C

Nurse Practitioner - Family

NPI 1750830824

Nurse Practitioner (Certified)

Kacey Conlan , LPCC-S

Counselor - Professional

NPI 1770190704

LPCCS

Emily Forthofer

Nurse Practitioner - Pediatrics

NPI 1861322646

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2011

Registered at 120 STURGES AVE STE 1, MANSFIELD, OH 449032399 (Tel: 4195225454)

📍
Updated Business Mailing Address December 19, 2011

Registered at 120 STURGES AVE STE 1, MANSFIELD, OH 449032399 (Tel: 4195225454)

👤
Provider Name / Credentials Updated December 19, 2011

Recorded as CHANDRA SHAKER, M.D., F.A.A.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2011

Pediatrics (License #35042404S in OH)

🟢
Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497892061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: December 19, 2011
Sole Proprietor: No

Mailing Address

120 Sturges Ave Ste 1

Mansfield, OH 449032399

Phone: 4195225454

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.