Robert V Shafor, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

10412R Issued in LA

Practice address

1051 Gause Blvd Ste 410
Slidell, LA 70458-2995

Phone

(985) 280-9002

Fax

(985) 781-0200

NPI assigned

Dec 1, 2005

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 3

Medicare fee-for-service enrollment

Enrolled in WI, WA2 enrollments

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 2

Specialty

General Surgery

Education

University of Missouri, Columbia School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robertshafor@mic.allscriptsdirect.net
• Direct secure messaging: rshafor3936180@direct.trinity-health.org
• FHIR API: https://fhir4.healow.com/fhir/r4/GDBCBD

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

• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Robert V Shafor, MD

  • Surgery Physician
  • Slidell, LA
  • NPI 1093845687
  NPD (past) Authorized official
• Mercy Hospital, Iowa City, Iowa

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1982664124
  NPD
• Multicare Health System

  • Physical Therapist
  • Auburn, WA
  • NPI 1033622311
  NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Gulf Coast Rheumatology

  • Specialist
  • Slidell, LA
  • NPI 1669630604
  NPD (past)
• Slidell Memorial Hospital

  • Specialist
  • Slidell, LA
  • NPI 1558301093
  NPD (past)

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

• Multicare Health System

  • General Acute Care Hospital
  • Auburn, WA
  • NPI 1255327201
  Care Compare affiliation

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1528042702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 410",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582995",
            "telephone_number": "985-280-9002",
            "fax_number": "985-781-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 410",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582995",
            "telephone_number": "985-280-9002",
            "fax_number": "985-781-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFOR",
        "first_name": "ROBERT",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "10412R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SMH PHYSICIAN NETWORK",
            "identifier": "1801020433",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539562",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020023590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Settles, CSW
• Colleen M Sevin, RD, LDN
• Deshawn Seymore
• John Brian Seymour, MD
• William Alexander Shaffer
• Nikunj Shah
• Shane Tewis, DDS of Louisiana, a Professional Dental LLC
• Clinton Harry Sharp III, M.D.
• Devante Shaw
• Katrina Lynn Necaise Shaw, FNP

• Surgery Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.