Shay Weston Corbin, DC
Individual provider Active NPI Sports Physician Chiropractor · Saint Francisville, LA
NPI 1619046992 · NPPES record last updated May 25, 2011
Key facts
- NPI
- 1619046992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 1275 (LA)
- Practice address
- 12216 Jackson Road
Saint Francisville, LA 70775 - Phone
- (225) 635-4172
- Fax
- (225) 635-4173
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SW Corbin Enterprises LLC
Practice addresses (Care Compare)
7417 Jefferson Hwy
Baton Rouge, LA 70806-8205
Phone (225) 924-3989
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031215000043 | LA | Practitioner - Chiropractic | 2668379165 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1275 | LA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SWC Medical, LLC | Sports Physician | Current |
Accepting new patients |
| SW Corbin Enterprises LLC | Current |
Accepting new patients | |
| SWC West Baton Rouge, LLC | Current | Accepting new patients | |
| Chirohealth LLC. | Past | Accepting new patients |
Locations
7417 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 924-3989
4463 Hwy 1 S
Ste B
Port Allen, LA 70767
Phone (225) 246-7915
Interoperability endpoints
- docshaybr@cssr0001.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1275 | LA | Yes |
Addresses
Primary practice location
12216 Jackson Road
Saint Francisville, LA 70775
Mailing address
PO Box 3321
Saint Francisville, LA 70775
Phone (225) 635-4172
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10982048 | Other | CAQH | |
| G2150 | Other | LA | BLUECROSSBLUESHIELD |
Other providers in Saint Francisville, LA
- Mark Chustz
- Clear Path to Wellness
- Clifton G. Elliott, LLC
- Commute Safer Medi Trans LLC
- Brittany L. Cooper
- Alicia Ardoin Corlew
- Charles Clay Couvillon
- Cura Mobility Services
- Kelly Boenig D'Aquilla
- Daniel Services LLC
All providers in Saint Francisville, LA · Sports Physician Chiropractor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.