Dr. Shannon R Staker, MD
Dr. Shannon R Staker, MD is a Pediatric Medicine in Roosevelt, Utah. Graduated from University of Utah School of Medicine in 1997, 29 years ago. Practices with Uintah Basin Medical Center, a 60-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 29
- Trained at
- University of Utah School of Medicine
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
210 W 300 N 75-3Roosevelt, UT 84066
Phone: (435) 722-3971
Fax: (435) 722-6104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 49110641205 (UT) |
|---|
Record details
| NPI number | 1023078045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 24, 2006 |
| Last updated in NPPES | July 13, 2026 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduated | 1997 (29 years in practice) |
| Group practice | Uintah Basin Medical Center — 60 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Roosevelt
-
Dr. Jason S Beales, MD
210 W 300 N 75-3, Roosevelt, UT 84066 · (435) 722-3971
-
Kyler Black, MD
250 W 300 N, Roosevelt, UT 84066-2336 · (435) 722-4691