Individual provider Active NPI

Sheldon A Johnson, M.D.

  • Therapeutic Radiology Physician
  • Baton Rouge, LA
National Provider Identifier
1568554871
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
04300R Issued in LA
Practice address
4950 Essen Lane
Baton Rouge, LA 70809-3482
Phone
(225) 767-0847
Fax
(225) 766-1417
NPI assigned
Sep 28, 2006
Last updated
Dec 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 04300R LA
Therapeutic Radiology Physician 2085R0203X 04300R LA Primary

Addresses

Primary practice location

4950 Essen Lane
Baton Rouge, LA 70809-3482

Mailing address

4950 Essen Lane
Baton Rouge, LA 70809-3482
Phone (225) 215-1311

Other identifiers 1

IdentifierTypeStateIssuer
1313459MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080416000292 LA Practitioner - Radiation Oncology 4789762790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04300RLAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Bird Perkins Cancer Center Radiation Oncology CurrentSince Dec 31, 1988 Accepting new patients
St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C. Radiation Oncology CurrentSince Jan 1, 2013 Accepting new patients

Locations

4950 Essen Ln
Ste 500
Baton Rouge, LA 70809
Phone (225) 765-8823

500 Rue de la Vie St
Ste 410
Baton Rouge, LA 70817
Phone (225) 216-3006

1203 S Tyler St
Ste 100
Covington, LA 70433
Phone (985) 875-2234

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

15728 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 542-5000

8166 Main St
Ste 101
Houma, LA 70360
Phone (985) 876-9045

8166 Main St
Ste 201
Houma, LA 70360
Phone (985) 857-8093

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

Interoperability endpoints

  • Direct secure messaging: sjohnson239411@direct.ochsner.org
  • Direct secure messaging: sjohnson60560@direct.casso.us.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1568554871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LANE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093482",
            "telephone_number": "225-215-1311",
            "fax_number": "225-215-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LANE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093482",
            "telephone_number": "225-767-0847",
            "fax_number": "225-766-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHELDON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "04300R",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "LA",
            "license": "04300R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1313459",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.