Individual provider Active NPI

William Alexander Shaffer

  • Diagnostic Radiology Physician
  • Slidell, LA
National Provider Identifier
1215252341
Registry record updated Jun 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.208026 Issued in LA
Practice address
1001 Gause Blvd
Slidell, LA 70458-2939
Phone
(205) 657-2660
NPI assigned
Mar 31, 2010
Last updated
Jun 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X MD.208026 LA Primary

Addresses

Primary practice location

1001 Gause Blvd
Slidell, LA 70458-2939

Mailing address

113 Columbia PL
Slidell, LA 70458-9128
Phone (205) 657-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150804005210 LA Practitioner - Diagnostic Radiology 9739493701 Reassigns benefits to 3 organizations
I20160510002046 MS Practitioner - Diagnostic Radiology 9739493701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970

1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.208026LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Interventional Associates of Metairie LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 21, 2024 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Medical Foundation, Inc. Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 21, 2024 Accepting new patients
Medical Foundation, Inc. CurrentSince Jul 28, 2025 Accepting new patients
Cenla Urology Clinic LLC Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients

Locations (25 of 43)

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900

301 4th St
Alexandria, LA 71301
Phone (318) 441-1030

3311 Prescott Rd
Ste 100
Alexandria, LA 71301
Phone (318) 442-3384

3311 Prescott Rd
Ste 4001
Alexandria, LA 71301

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921

3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211

5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399

5419 Jackson Street Ext
#A
Alexandria, LA 71303
Phone (318) 441-2226

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

1601 Country Club Rd
Lake Charles, LA 70605
Phone (337) 439-7778

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1747 Imperial Blvd
Ste B
Lake Charles, LA 70605
Phone (337) 312-8284

1750 Ryan St
Lake Charles, LA 70601
Phone (337) 433-3001

1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161

2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc27777_cenlaurologyclinic

Organizations & group practices 9

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 5

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464998400000",
    "number": "1215252341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COLUMBIA PL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704589128",
            "telephone_number": "205-657-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "205-657-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2016-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.208026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.