Individual provider Active NPI

Herbert Norman Shapiro, M.D.

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1629061403
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27603 Issued in MO
Practice address
6150 Oakland Ave
2ND Floor, WCC
Saint Louis, MO 63139-3215
Phone
(314) 845-2500
Fax
(314) 845-8060
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 27603 MO Primary

Addresses

Primary practice location

6150 Oakland Ave
2ND Floor, WCC
Saint Louis, MO 63139-3215

Mailing address

617 Brookmont Lake CT
Chesterfield, MO 63017-7059
Phone (314) 845-2500

Other identifiers 1

IdentifierTypeStateIssuer
200989705MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Neuropathy & Pain Relie Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1629061403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 BROOKMONT LAKE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177059",
            "telephone_number": "314-845-2500",
            "fax_number": "314-845-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAKLAND AVE",
            "address_2": "2ND FLOOR, WCC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393215",
            "telephone_number": "314-845-2500",
            "fax_number": "314-845-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "HERBERT",
        "middle_name": "NORMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "27603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200989705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.