Shane M. Garon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

300538 Issued in LA

Practice address

211 4TH St
Alexandria, LA 71301-8421

Phone

(318) 769-3000

NPI assigned

Apr 23, 2014

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1386064889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 PERSHING AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713015016",
            "telephone_number": "318-452-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARON",
        "first_name": "SHANE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "300538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2358235",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rolando Garcia Jr., CRNA
• Jessica Gardner
• Garfield Group Home
• Emily Elizabeth Garlington, PA
• Patsy Garlington
• Jeffrey L Garrison, M.D.
• Gary V Dewitt DDS Ms Apc
• Rodolfo Garza Morales, MD
• Candice Gaspard
• Robert Gaston Jr.

• Family Medicine Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.