Shenandoah Medical Associates, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

015137 Issued in LA

Legal business name

SHENANDOAH MEDICAL ASSOCIATES, LLC

Practice address

13828 Coursey Blvd
Baton Rouge, LA 70817-1307

Phone

(225) 752-4530

Fax

(225) 752-4652

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Gregory FerraraNPI 1073596094

Title

LLC Member

Phone

(225) 752-4530

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory F Ferrara, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1073596094
  Medicare reassignment NPD Authorized official
• Michael G Day, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1790768729
  Medicare reassignment NPD
• Christopher Collins Lee, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1356334866
  Medicare reassignment NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1114025194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13828 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171307",
            "telephone_number": "225-752-4530",
            "fax_number": "225-752-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13828 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171307",
            "telephone_number": "225-752-4530",
            "fax_number": "225-752-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "225-752-4530"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "LA",
            "license": "015137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1931802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1931802",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon L Shelmire
• Barney Shelton Jr.
• Jessica Ann Shelton, MSW, CSW
• Lashauna Shelton
• Shenandoah Eye Clinic
• Jody Shepard
• Joli E Shepard, O.D.
• Latrika Shepard, LMT
• Kay B Shepherd, NP
• Marene Marcella Shepherd, CRNA

• Non-Pharmacy Dispensing Site in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Non-Pharmacy Dispensing Site in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.