Provider Type Icon

SHENANDOAH MEDICAL ASSOCIATES LLC NPI 1114025194


NPI Information

NPI: 1114025194
Provider Name: SHENANDOAH MEDICAL ASSOCIATES, LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 19D1029859

Address:
13828 COURSEY BLVD
BATON ROUGE, LA
ZIP 70817
Phone: (225) 752-4530
Get Directions

SHENANDOAH MEDICAL ASSOCIATES, LLC is a non pharmacy dispensing site in Baton Rouge, LA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SHENANDOAH MEDICAL ASSOCIATES, LLC NPI is 1114025194. The provider is registered as an organization entity type.

The provider's business location address is:

13828 COURSEY BLVD
BATON ROUGE, LA
ZIP 70817-307
Phone: (225) 752-4530
Fax: (225) 752-4652

The provider's authorized official is Gregory Ferrara .
The authorized official title is Llc Member and has the following contact phone number (225) 752-4530.

The CLIA number assigned to this NPI record is 19D1029859 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/21/2006 and was last updated on 2/26/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site015137LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11931802OTHEROTHER ID NUMBER
21931802OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.