Active NPI
Lawrence Raymond Shoemaker, MD
- Pediatric Nephrology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 264373
- Practice address
- 725 Irving Ave
Syracuse, NY 13210-1603 - Phone
- (315) 464-6340
- Fax
- (315) 464-6329
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 264373 | NY | Primary |
| Pediatrics Physician | 208000000X | 35271 | KY | |
| Pediatric Nephrology Physician | 2080P0210X | 35271 | KY |
Addresses
Primary practice location
725 Irving Ave
Syracuse, NY 13210-1603
Mailing address
725 Irving Ave
Syracuse, NY 13210-1603
Phone (315) 464-6340
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012296800 | Medicaid | FL | |
| 64252711 | Medicaid | KY | |
| 03427103 | Medicaid | NY | |
| 200111660 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Vanderbilt University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1535 Gale Lemerand Dr
Gainesville, FL 32610-3008
Phone (352) 273-9500
1549 Gale Lemerand Dr
Gainesville, FL 32610-3008
Phone (352) 265-4357
1600 SW Archer
Gainesville, FL 32610-3003
1600 SW Archer Rd
Gainesville, FL 32610-3003
1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535
2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250
2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990
Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35271 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| University Children'S Kidney Specialists, LLC | Pediatric Nephrology | Past | Accepting new patients |
Locations
1549 Gale Lemerand Dr
Gainesville, FL 32610
Phone (352) 265-0496
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
Interoperability endpoints
- lshoemaker146388@direct.shands.ufl.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Pediatric Nephrology Physician
- Louisville, KY
- NPI 1477600773
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1083403661
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1144019720
-
- General Acute Care Hospital
- Alachua, FL
- NPI 1306717889
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1396616876
-
- General Acute Care Hospital
- Newberry, FL
- NPI 1477424943
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1699874248
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1992542369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1063496594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101603",
"telephone_number": "315-464-6340",
"fax_number": "315-464-6329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101603",
"telephone_number": "315-464-6340",
"fax_number": "315-464-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "LAWRENCE",
"middle_name": "RAYMOND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NY",
"license": "264373",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "35271",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "KY",
"license": "35271",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012296800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64252711",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03427103",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200111660",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.