RICHARD LEE SHOMO PA NPI 1609853720

NPI Information

NPI: 1609853720
Provider Name: RICHARD LEE SHOMO, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2300 GENERAL MEYER AVE
BLDG H100
NEW ORLEANS, LA
ZIP 70142
Phone: (504) 678-8148
Get Directions

Richard Lee Shomo, PA is a medical physician assistant in New Orleans, LA. Richard Lee Shomo, PA NPI is 1609853720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2300 GENERAL MEYER AVE
BLDG H100
NEW ORLEANS, LA
ZIP 70142-001
Phone: (504) 678-8148
Fax: (504) 678-1596

The NPI 1609853720 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 12/29/2005 and was last updated on 6/4/2008.

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	363AM0700X	Physician Assistant	Medical	PA04261	TEXAS	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	Other Provider Identifier Issuer
1	1049767	OTHER		NATIONAL CERTIFICATION
2	5C822P946	MEDICARE PIN	LOUISIANA
3	PA04261	OTHER	TEXAS	LICENSE
4	PA200160	OTHER	LOUISIANA	LICENSE
5	1037052	MEDICAID	LOUISIANA

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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