Organization Active NPI

Shannon M Juno M.D. P.a.

  • Obstetrics & Gynecology Physician
  • La Grange, TX
National Provider Identifier
1275714503
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M3444 Issued in TX
Legal business name
SHANNON M JUNO M.D. P.A.
Practice address
1720 Von Minden Rd
La Grange, TX 78945-2419
Phone
(979) 968-2700
Fax
(979) 968-2733
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Shannon M Juno, M.D.NPI 1104818624
Title
Owner
Phone
(979) 968-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X M3444 TX Primary

Addresses

Primary practice location

1720 Von Minden Rd
La Grange, TX 78945-2419

Mailing address

PO Box 740
La Grange, TX 78945-0740
Phone (979) 968-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080514000189 TX Part B Supplier - Clinic/Group Practice 5799854998 Receives reassigned benefits from 2 practitioners
Practice locations: La Grange, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24780/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275714503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789450740",
            "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": [],
    "basic": {
        "organization_name": "SHANNON M JUNO M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2025-09-11",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "JUNO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-968-2700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.