LAWRENCE RAYMOND SHOEMAKER MD NPI 1063496594

NPI Information

NPI: 1063496594
Provider Name: LAWRENCE RAYMOND SHOEMAKER, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Organization: FLORIDA CLINICAL PRACTICE ASSOCIATION INC

PECOS Registration: Yes

Address:
725 IRVING AVE
SYRACUSE, NY
ZIP 13210
Phone: (315) 464-6340
Get Directions

Lawrence Raymond Shoemaker, MD is a pediatric nephrology pediatrics in Syracuse, NY with 38 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Lawrence Raymond Shoemaker, MD NPI is 1063496594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

725 IRVING AVE
SYRACUSE, NY
ZIP 13210-603
Phone: (315) 464-6340
Fax: (315) 464-6329

The NPI 1063496594 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 9/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		35271	KENTUCKY	No
2	2080P0210X	Pediatrics	Pediatric Nephrology	35271	KENTUCKY	No
3	2080P0210X	Pediatrics	Pediatric Nephrology	264373	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	03427103	MEDICAID	NEW YORK
2	J400065898	MEDICARE PIN	NEW YORK
3	64252711	MEDICAID	KENTUCKY
4	200111660	MEDICAID	INDIANA
5	G38542	MEDICARE UPIN
6	HW298Z	MEDICARE PIN	FLORIDA
7	012296800	MEDICAID	FLORIDA
8	777002	MEDICARE PIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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