Active NPI
Steven C Shapiro, MD
- Dermatology Physician
- Hattiesburg, MS
National Provider Identifier
1083723639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 15101
- Practice address
- 323 Woodshire Dr
Hattiesburg, MS 39402-3447 - Phone
- (601) 434-3938
- NPI assigned
- Aug 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 15101 | MS | Primary |
Addresses
Primary practice location
323 Woodshire Dr
Hattiesburg, MS 39402-3447
Mailing address
323 Woodshire Dr
Hattiesburg, MS 39402-3447
Phone (601) 434-3938
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1559005 | Other | MS | AMERICAN ADMIN GROUP |
| 070010683 | Other | MS | RAILROAD MEDICARE |
| 00117508 | Medicaid | MS | |
| 202494 | Other | MS | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1083723639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 WOODSHIRE DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023447",
"telephone_number": "601-434-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 WOODSHIRE DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023447",
"telephone_number": "601-434-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "STEVEN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MS",
"license": "15101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ADMIN GROUP",
"identifier": "1559005",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070010683",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00117508",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "202494",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.