Active NPI
L. Richard Shearer, M.D.
- Otolaryngology Physician
- Mount Shasta, CA
National Provider Identifier
1144406711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G37221
- Practice address
- 701 Pine St
Mount Shasta, CA 96067-2133 - Phone
- (530) 926-6222
- Fax
- (530) 926-0444
- NPI assigned
- Jan 14, 2008
- Last updated
- Jul 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G37221 | CA | Primary |
Addresses
Primary practice location
701 Pine St
Mount Shasta, CA 96067-2133
Mailing address
701 Pine St
Mount Shasta, CA 96067-2133
Phone (530) 926-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G37221 | CA | MD | Otolaryngology Physician |
| 37221 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1144406711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PINE ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672133",
"telephone_number": "530-926-6222",
"fax_number": "530-926-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PINE ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672133",
"telephone_number": "530-926-6222",
"fax_number": "530-926-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "L.",
"middle_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G37221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Shasta, CA
- Shanhong Lu
- Shasta Midwives Birth Center Inc
- Shasta Mountain Shuttle and Tours LLC
- Shasta Vision Group an Optometric Corporation
- Kevin Shearer, D.D.S.
- Grover Gene Shipman, MD
- Anca Marissa Sira, L.AC, FABORM
- Siskiyou Union High School District
- Siskiyou Wellness Community Mental Health
- Nathan Sivananda, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.