Shannon R. Staker, MD
NPI 1023078045ActiveIndividual· Pediatrics· Roosevelt, UT
Pediatrics (MD) in Roosevelt, Utah, trained at University of Utah School of Medicine (class of 1997). Enrolled in Medicare as practitioner - pediatric medicine. Janssen Biotech, Inc. reported $32.24 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1023078045 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 24, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 49110641205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (UT) |
|---|
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Pediatric Medicine |
Medical group
- Uintah Basin Medical CenterRoosevelt, UT · 62 clinicians
Industry payments (Open Payments)
- 2025$32.24 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $32.24 | 2 |
What the 2025 payments were for
- Food and Beverage$32.24 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics providers in Roosevelt
- 1891755872
- 1275593717