Individual provider Active NPI

Shannon M Juno, M.D.

  • Obstetrics & Gynecology Physician
  • La Grange, TX
National Provider Identifier
1104818624
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M3444 Issued in TX
Practice address
1720 Von Minden Rd
La Grange, TX 78945-2419
Phone
(979) 968-2700
Fax
(979) 968-2733
NPI assigned
Aug 19, 2005
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M3444 TX Primary

Addresses

Primary practice location

1720 Von Minden Rd
La Grange, TX 78945-2419

Mailing address

1720 Von Minden Rd
La Grange, TX 78945-2419
Phone (979) 968-2700

Other practice location 1

700 Medical Pkwy
Brenham, TX 77833-5413
Phone (979) 337-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjuno291527@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000118 TX Practitioner - Obstetrics/Gynecology 7315936770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon M Juno M.D. P.a.Group PAC ID 5799854998, 2 clinicians

Practice addresses (Care Compare)

1720 Von Minden Rd
La Grange, TX 78945-2419
Phone (979) 968-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M3444TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 25, 2017 Accepting new patients
Scott & White Clinic Obstetrics & Gynecology Current Accepting new patients
Shannon M Juno M.D. P.a. Obstetrics & Gynecology CurrentSince Jul 10, 2006 Accepting new patients
Scott & White Clinic Obstetrics & Gynecology CurrentSince Aug 12, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1720 Von Minden Rd
La Grange, TX 78945
Phone (979) 968-2700

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24780/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shannon.juno.1@24780.direct.athenahealth.com
  • Direct secure messaging: smmsjuno@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1104818624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 VON MINDEN RD",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452419",
            "telephone_number": "979-968-2700",
            "fax_number": "979-968-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 VON MINDEN RD",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452419",
            "telephone_number": "979-968-2700",
            "fax_number": "979-968-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778335413",
            "country_code": "US",
            "telephone_number": "979-337-5000",
            "fax_number": "979-830-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNO",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjuno291527@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 Medical Pkwy",
            "city": "Brenham",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778335413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

Verify at the official NPI Registry.