Active NPI
Jessica J Shank, M.D.
- Gynecologic Oncology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 308640
- Practice address
- 150 S Liberty St
New Orleans, LA 70112 - Phone
- (504) 988-6300
- Fax
- (504) 988-7473
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 308640 | LA | Primary |
Addresses
Primary practice location
150 S Liberty St
New Orleans, LA 70112
Mailing address
1430 Tulane Ave
New Orleans, LA 70112-2632
Phone (504) 610-7119
Other practice location 1
34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098
Phone (619) 532-6400
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Tulane University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Administrators of the Tulane Educational Fund
Practice addresses (Care Compare)
1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308640 | LA | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Education Fund | Past | Accepting new patients |
Locations
71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922
101 Judge Tanner Blvd
Ste 404
Covington, LA 70433
Phone (985) 590-5339
4720 S I 10 Service Rd W
Ste 510
Metairie, LA 70001
Phone (504) 779-8282
4204 Houma Blvd
Ste 2
Metairie, LA 70006
Phone (504) 503-5426
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485
1415 Tulane Ave
#8611
New Orleans, LA 70112
150 S Liberty St
New Orleans, LA 70112
Phone (504) 988-6300
Organizations & group practices 4
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.
-
- Specialist
- Covington, LA
- NPI 1245434224
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
- NPI 1790354595
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1982767810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "504-610-7119",
"fax_number": "504-988-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S LIBERTY ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70112",
"telephone_number": "504-988-6300",
"fax_number": "504-988-7473"
}
],
"practiceLocations": [
{
"address_1": "34800 Bob Wilson Dr",
"address_2": "NMCSD",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921341098",
"country_code": "US",
"telephone_number": "619-532-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANK",
"first_name": "JESSICA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "LA",
"license": "308640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.