VINCENT LEE SHAW JR. (NPI# 1154356491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154356491 |
| Entity Type | Individual |
| Full Name | VINCENT LEE SHAW JR. |
| Credential | MD |
| Practice Address |
8490 Picardy Ave Bldg 100 Ste A Baton Rouge LA 70809-3731 |
| Mailing Address |
8490 Picardy Ave Bldg 200 Baton Rouge LA 70809-3731 |
| Practice Telephone | 2258191170 |
| Practice Fax Number | 2258191179 |
| Mailing Telephone | 2252371754 |
| Mailing Fax Number | 2252371722 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 026422 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE PTAN | 4J728YJGU | 01 |
| LA | LA STATE LICENSE # | 026422 | 01 |
| LA | 1058823 | 05 |
| Street Address |
8490 PICARDY AVE BLDG 100 STE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177348 | Lucius J Doucet IIi | Specialist | 8490 Picardy Ave, Bldg 600-b, Baton Rouge, LA 70809-3731 | 2005-07-07 |
| 1346841566 | Erin Melissa Dandridge | Dietitian, Registered | 8490 Picardy Ave, Baton Rouge, LA 70809-3731 | 2020-11-04 |
| 1154751857 | Lauren Bourgeois Simon | Dietitian, Registered | 8490 Picardy Ave, Suite 1000d, Baton Rouge, LA 70809 | 2013-11-15 |
| 1518219112 | Baton Rouge General Physicians, Inc. | Family Medicine | 8490 Picardy Ave, Suite 600d, Baton Rouge, LA 70809-3731 | 2012-10-05 |
| 1710267711 | Baton Rouge General Physicians, Inc | Dermatology | 8490 Picardy Ave, Suite 600a, Baton Rouge, LA 70809-3731 | 2011-08-22 |
| 1013206689 | Baton Rouge General Physicians, Inc. | Family Medicine | 8490 Picardy Ave, Bldg 600, Baton Rouge, LA 70809-3731 | 2011-04-04 |
| 1083899173 | Lucius J. Doucet, IIi, Md, LLC | Specialist | 8490 Picardy Ave, Bldg 600 B, Baton Rouge, LA 70809-3731 | 2008-01-08 |
| 1831393826 | Barbara W Rogers | Nurse Practitioner | 8490 Picardy Ave, Suite 600a, Baton Rouge, LA 70809-3731 | 2007-06-13 |
| 1174630131 | Judith T. Fishbein | Pediatrics | 8490 Picardy Ave, Rm 711, Baton Rouge, LA 70809-3731 | 2006-08-24 |
| 1912908518 | Stephen V Gordon | Surgery | 8490 Picardy Ave, Building 600, Suite B, Baton Rouge, LA 70809 | 2005-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571460 | Robert Dwight Brower | Family Medicine | 7037 Woodstock Dr, Baton Rouge, LA 70809-1131 | 2019-04-11 |
| 1154896470 | Jornel Rarnise Dixon | Family Medicine | 10627 Hillary Ct, Baton Rouge, LA 70810-2842 | 2018-10-13 |
| 1588187686 | Baton Rouge General Physicians Concierge Medicine, LLC | Family Medicine | 10523 N Oak Hills Pkwy Ste A, Baton Rouge, LA 70810-2858 | 2017-07-20 |
| 1265886303 | Rachael Kermis | Family Medicine | 8595 Picardy Ave Ste 200, Baton Rouge, LA 70809-3674 | 2016-04-14 |
| 1902266489 | Jon Anthony Savoie | Family Medicine | 19527 East Lakeway Avenue, Baton Rouge, LA 70810-8926 | 2016-02-26 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| 1477950202 | Baton Rouge General Physicians, Inc. | Family Medicine | 9241 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-2971 | 2014-11-21 |
| 1275808305 | Jonathan Arlen Roundtree | Family Medicine | 504 Mayflower St, Baton Rouge, LA 70802-6419 | 2012-03-22 |
| 1295019743 | Christine L. Mills Smith, Md, LLC | Family Medicine | 8261 Summa Ave Ste A, Baton Rouge, LA 70809 | 2011-10-03 |
| 1093095408 | Oscar Menees Thompson Jr. | Family Medicine | 8655 Jefferson Hwy, # 3, Baton Rouge, LA 70809-2244 | 2011-08-17 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.