Shawn P Todd DO PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SHAWN P TODD DO PA

Practice address

1704 E Denman Ave
Lufkin, TX 75901-6110

Phone

(936) 639-1224

Fax

(936) 632-9322

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stacia Luker

Title

Office Manager

Phone

(936) 639-1224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Patrick Todd, D.O.

  • Urology Physician
  • Lufkin, TX
  • NPI 1982916227
  Medicare reassignment NPD

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1326422791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016110",
            "telephone_number": "936-639-1224",
            "fax_number": "936-632-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016110",
            "telephone_number": "936-639-1224",
            "fax_number": "936-632-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN P TODD DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "LUKER",
        "authorized_official_first_name": "STACIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-639-1224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basem Ramzi Shabb, M.D.
• Hafiz Talha Shafique, RPH
• April Shankle, RN
• Shyteria Shankle, LVN
• Edward A Sharrer, DPM
• Shelly Slaton, Ma, LPC-S, PLLC
• Shelby Lynn Shelton, CNM
• Katelyn Shoemaker
• Merla Sierra, FNP
• Stephannie L Sigler

• Urology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.