Larry Eugene Shores, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34757 Issued in CO

Practice address

2135 Southgate Rd
Colorado Springs, CO 80906-2605

Phone

(719) 633-4114

NPI assigned

Feb 24, 2007

Last updated

Mar 3, 2009By 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

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Cedar Springs Hospital, Inc

  dba Cedar Springs Behavioral Health System

  • Psychiatric Hospital
  • Colorado Springs, CO
  • NPI 1992752133
  Medicare reassignment NPD
• Cedar Springs Hospital, Inc

  dba Cedar Springs Hospital

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1477166833

  Child & Adolescent Psychiatry

  NPD
• Cedar Springs Hospital

  dba Cedar Springs Behavioral Health System

  • Psychiatric Residential Treatment Facility
  • Colorado Springs, CO
  • NPI 1770707739
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1518093715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 SOUTHGATE RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062605",
            "telephone_number": "719-633-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SOUTHGATE RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062605",
            "telephone_number": "719-633-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORES",
        "first_name": "LARRY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "34757",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "34757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle N Shook, FNP-C
• Leslie Leon Shook II, N.P.
• Vanessa Shook
• Courtney Shoop, OTR/L
• Glenn Mark Shoptaugh, M.D.
• Aaron Michael Short
• Alexis Brianna Short, LPC
• Andrew Short, DPT
• Christian Robin Short
• Howard B Short, DMD

• Psychiatry Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.