Robert L Shackleton, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Terrytown, LA
NPI 1689601254 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689601254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD.014794 (LA)
- Practice address
- 2600 Belle Chasse Hwy
Terrytown, LA 70056-7156 - Phone
- (504) 391-7670
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bone and Joint Clinic LLC
Practice addresses (Care Compare)
2600 Belle Chasse Hwy
Suite I
Terrytown, LA 70056-7156
Phone (504) 391-7670
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101015000852 | LA | Practitioner - Orthopedic Surgery | 0042249401 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bone & Joint Clinic, LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| LMG, LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Bone & Joint Clinic LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| LMG LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Bone & Joint Clinic | Orthopaedic Surgery | Past | Accepting new patients |
| Bone & Joint Clinic | Orthopaedic Surgery | Past | Accepting new patients |
Locations
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
2731 Napoleon Ave
New Orleans, LA 70115
Phone (504) 897-6351
2600 Belle Chasse Hwy
Ste I
Terrytown, LA 70056
Phone (504) 391-7670
2600 Belle Chasse Hwy
Ste 1
Terrytown, LA 70056
Phone (504) 391-7670
2600 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-7520
Interoperability endpoints
- https://api.platform.athenahealth.com/1179/brand/1/csg/101/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD.014794 | LA | Yes |
Addresses
Primary practice location
2600 Belle Chasse Hwy
Terrytown, LA 70056-7156
Mailing address
4633 Wichers Dr
Marrero, LA 70072-3064
Phone (504) 347-5421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1330493 | Medicaid | LA |
Other providers in Terrytown, LA
- Mohammed Khalid Saleh
- Amanda Salgado
- Anne Baggett Sanders
- Savid 3.0 Consulting Group LLC
- Kayla Scott
- Gregory Alexander Shamitko
- Shaylee Cares, Inc
- Shaylee Cares, Inc.
- Shaylee Cares, Inc.
- Shaylee Cares, Inc.
All providers in Terrytown, LA · Orthopaedic Surgery Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.
- Order and Referring (CMS).
- 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.