Ray Shrout

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

E3723 Issued in AL

Practice address

234 Aquarius Dr Ste 111
Birmingham, AL 35209-5867

Phone

(205) 949-0400

Fax

(205) 949-0405

NPI assigned

Feb 6, 2015

Last updated

Feb 6, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Affinity Palliative Arkansas, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pine Bluff, AR
  • NPI 1528747326
  Authorized official Same address or phone

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1619368073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 AQUARIUS DR STE 111",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095867",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 AQUARIUS DR STE 111",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095867",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROUT",
        "first_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "AL",
            "license": "E3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence G. Shory, MD
• Megan Shory
• Lauren Shouse
• Erin Nicole Showalter, DO
• Kevin Sidharth Shrestha, MD
• Duane Shroyer, M.D.
• Erin Shufflebarger
• Erin Shuford
• Minakshi Vivek Shukla, MBBS
• Vivek Vishwanath Shukla, MD

• Hospice Registered Nurse in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Hospice Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.