Richard Thomas Shimer, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

14655R Issued in LA

Practice address

2770 3Rd Ave Ste 120
Lake Charles, LA 70601-8994

Phone

(337) 494-4868

Fax

(337) 494-4870

NPI assigned

Feb 25, 2006

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

General Surgery

Education

Medical College of Pennsylvania, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LCMS Surgical Associates of Southwest Lousiana, LLCGroup PAC ID 8820113780, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HH Agency of Lake Charles Memo Home health agency, Lake Charles, LA, CCN 197005
• Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• LCMS Surgical Associates of Southwest Lousiana, LLC

  dba Surgical Associates of Southwest Louisiana

  • Surgery Physician
  • Lake Charles, LA
  • NPI 1407168032
  Medicare reassignment Care Compare group NPD
• Southwest Louisiana Hospital Association Inc

  dba Lake Charles Memorial Hospital

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  NPD (past)

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

• Southwest Louisiana Hospital Association Inc

  dba Digestive Health Center of SWLA

  • Gastroenterology Physician
  • Lake Charles, LA
  • NPI 1285351411

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  dba Home Health Agency of Lake Charles Memorial Hospital

  • Home Health Agency
  • Lake Charles, LA
  • NPI 1649295015
  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  dba Rheumatology Associates

  • Rheumatology Physician
  • Lake Charles, LA
  • NPI 1659424075

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  dba Lake Charles Memorial Hospital

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  Care Compare affiliation

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1508832924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122342 DEPT 2342",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-4868",
            "fax_number": "337-494-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMER",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-25",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "14655R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140872",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD.14655R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Shepard
• Sarah Shepherd
• Tonya Shepherd, MHS
• Mary H Sherk, MD
• Shianne Syed, M. Ed, LPC, NCC, LLC
• Shantell Shinnette
• Amanda Shoemake
• Shonda Wigs Refining Boutique LLC.
• Shondra L Smith, MD Dermatology & Advanced Aesthetics, LLC (Dermatology and Advanced Aesthetics, LLC)
• Courtney Michelle Short-Prudhomme

• Surgery Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.