Individual provider Active NPI

Shannon M Alwood, M.D.

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1295916583
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200662 Issued in LA
Practice address
2020 Gravier St
7TH Floor, Ste D
New Orleans, LA 70112-2272
Phone
(504) 903-3594
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physician Associates, LLC 78 clinicians

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-8826

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000223 LA Practitioner - Emergency Medicine 1850460528 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200662LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Physician Associates, LLC Emergency Medicine CurrentSince May 1, 2008 Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

5000 Hennessy Blvd
Ste B
Baton Rouge, LA 70808

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200662 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

2020 Gravier St
7TH Floor, Ste D
New Orleans, LA 70112-2272

Mailing address

3117 Twelve Oaks Ave
Baton Rouge, LA 70820-5728
Phone (504) 481-2289

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1073491MedicaidLA
P00650196OtherLARAILROAD MCARE THRU PEPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2009.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1295916583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 TWELVE OAKS AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708205728",
            "telephone_number": "504-481-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GRAVIER ST",
            "address_2": "7TH FLOOR, STE D",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122272",
            "telephone_number": "504-903-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWOOD",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "200662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073491",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE THRU PEPA",
            "identifier": "P00650196",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.