Shane Noufal Lahood

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA A10421 Issued in LA

Practice address

913 S College Rd
Suite 102
Lafayette, LA 70503-3060

Phone

(337) 234-5344

NPI assigned

Feb 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Azar and Lahood Enterprises LLCGroup PAC ID 9739319617, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.53 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

78.44

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Azar & Lahood Enterprises LLC

  dba Express Med

  • General Practice Physician
  • Lafayette, LA
  • NPI 1821420258
  Medicare reassignment Care Compare group Authorized official
• Progressive Healthcare Solutions

  • Customized Equipment (DME)
  • Lafayette, LA
  • NPI 1649321894
  NPD (past)
• Stephen Goldware, M.D. a Professional Medical Corporation

  • Neurological Surgery Physician
  • Lafayette, LA
  • NPI 1619389889
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932240579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ASHWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035101",
            "telephone_number": "337-234-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-234-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHOOD",
        "first_name": "SHANE",
        "middle_name": "NOUFAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA A10421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lahaye and Doll ABA Services
• Lahaye Center for Advanced Eye Care of Lafayette, Inc.
• Lahaye Center for Advanced Eye Care of Lafayette, Inc.
• Hannah Lahaye
• Nicholas Tate Lahaye, PT
• Lake Consulting LLC
• Lake Professionals LLC
• Lake Wellness Center, LLC (Lake Wellness Center)
• Lake Wellness Center, LLC
• Kaylin R Lake, OTR/L

• Physician Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.