Individual provider Active NPI

Shannon Christopher Ceasar, M.D.

  • General Practice Physician
  • Metairie, LA
National Provider Identifier
1275748675
Registry record updated Mar 7, 2016
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
025275 Issued in LA
Practice address
3801 Houma Blvd
Suite 100
Metairie, LA 70006-4165
Phone
(504) 309-8135
Fax
(504) 309-8156
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 025275 LA Primary

Addresses

Primary practice location

3801 Houma Blvd
Suite 100
Metairie, LA 70006-4165

Mailing address

3801 Houma Blvd
Suite 100
Metairie, LA 70006-4165
Phone (504) 309-8135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025275LAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of New Orleans, Inc Past Accepting new patients
West Medical Group Inc Past Accepting new patients
Superior Healthcare, LLC Past Accepting new patients
E and G Enterprises Inc Past Accepting new patients
Global Medical Center, LLC Past Accepting new patients
Medical Specialists of New Orleans Past Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1275748675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 HOUMA BLVD",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064165",
            "telephone_number": "504-309-8135",
            "fax_number": "504-309-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 HOUMA BLVD",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064165",
            "telephone_number": "504-309-8135",
            "fax_number": "504-309-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEASAR",
        "first_name": "SHANNON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "025275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.