Dr Shaunda Jones LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0211452 Issued in LA

Legal business name

DR SHAUNDA JONES LLC

Practice address

1111 Medical Center Blvd
Suite N304
Marrero, LA 70072-3151

Phone

(504) 349-6465

Fax

(504) 349-6468

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shaunda P Jones, MDNPI 1891734190

Title

Doctor

Phone

(504) 349-6465

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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.

• Shaunda P Jones, M.D.

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1891734190
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1366630964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N304",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6465",
            "fax_number": "504-349-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N304",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6465",
            "fax_number": "504-349-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHAUNDA JONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHAUNDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "504-349-6465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "0211452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986461",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSLA",
            "identifier": "435295542C",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Demetrice Dorn504-338-0888
• Dorothy K. Anderson, O.D.
• Crystal Dorsey
• Jasmine Rene Dorsey
• Phelesia Dotson
• Dr. Charles J. Ballay II M.D.
• Kimberly A Drake, NP
• Dreamers Touch
• David Driscoll
• Frank Stanley Drongowski, D.D.S.

• Internal Medicine Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.