Shawn Patrick Granger, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

11865R Issued in LA

Practice address

908 S 10TH St Ste a
Leesville, LA 71446-4614

Phone

(337) 392-2330

Fax

(337) 392-2580

NPI assigned

May 10, 2006

Last updated

Jul 9, 2020By 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 1

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

Orthopedic Surgery

Education

University of Southern California Keck School of Medicine, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164
• Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brhsgrang@yourcarecommunity.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Vernon Investment Group, LLC

  dba Vernon Home Health

  • Home Health Agency
  • Leesville, LA
  • NPI 1902005077

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Christus Health Central Louisiana

  dba CHRISTUS St. Frances Cabrini Hospitalist Group

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1497895130
  Medicare reassignment NPD
• West State Orthopedics & Sport Medicine

  • Specialist
  • Leesville, LA
  • NPI 1639376031

  Orthopaedic Surgery

  Medicare reassignment NPD
• SPG Capital Partners, LLC

  • Durable Medical Equipment & Medical Supplies
  • Leesville, LA
  • NPI 1003343450
  NPD (past) Authorized official
• West State Orthopedics and Sports Medicine Clinic

  • Orthopaedic Surgery Physician
  • Leesville, LA
  • NPI 1720037922
  NPD (past) Authorized official
• Physical Therapy Services of West Louisiana Inc

  • Physical Therapist
  • Leesville, LA
  • NPI 1417916685
  Care Compare group
• Christus Health Central Louisiana

  dba CHRISTUS St. Frances Cabrini Hospital

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1639160799
  NPD

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

• CLHG-Leesville

  dba Byrd Regional Hospital

  • General Acute Care Hospital
  • Leesville, LA
  • NPI 1881665164
  Care Compare affiliation
• Hospital Service District No 2 of Parish of Beauregard State of la

  dba Beauregard Memorial Hospital

  • Rural Acute Care Hospital
  • Deridder, LA
  • NPI 1831193499
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1609825165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S 10TH ST STE A",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464614",
            "telephone_number": "337-392-2330",
            "fax_number": "337-392-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S 10TH ST STE A",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464614",
            "telephone_number": "337-392-2330",
            "fax_number": "337-392-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 S 6th St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464442",
            "country_code": "US",
            "telephone_number": "337-392-2330",
            "fax_number": "337-392-2580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "SHAWN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "11865R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1499862",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste E Goins, LOTR
• GPN-Leesville, LLC
• GPN-Leesville, LLC
• GPN-Leesville, LLC
• Karah Graham
• Great River Orthopedic and Sports Medicine Center, Inc. (Advanced Orthopedics and Sports Medicine)
• Great South Management LLC (Deep South Chiropractic Clinic 2)
• Erika Ashlyn Greco
• Beatrice Jordanna Green, RBT
• Emily Suzanne Greer, M.S., CCC-SLP

• Orthopaedic Surgery Physician in Leesville, LA
• Providers in Leesville, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.