RICHARD LEE SHOMO


Address: 2300 General Meyer Ave, Bldg H100, New Orleans, LA 70142-0001
Phone: 5046788148

RICHARD LEE SHOMO (NPI# 1609853720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609853720
Entity Type Individual
Full Name RICHARD LEE SHOMO
Credential PA
Practice Address 2300 General Meyer Ave
Bldg H100
New Orleans
LA 70142-0001
Mailing Address 1009 Deborah Dr
Slidell
LA 70461-5368
Practice Telephone 5046788148
Practice Fax Number 5046781596
Mailing Telephone 5046788148
Mailing Fax Number 5046781596
Enumeration Date 2005-12-29
Last Update Date 2008-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA04261 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1037052 05
NATIONAL CERTIFICATION 1049767 01
LA LICENSE PA200160 01
TX LICENSE PA04261 01

Office Location

Street Address 2300 GENERAL MEYER AVE
BLDG H100
City NEW ORLEANS
State LA
Zip Code 70142-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063508117 James Clifford Lorbeck Dentist 2300 General Meyer Ave, Nacc Bldg-h-100, New Orleans, LA 70142-0001 2006-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942309356 New Orleans Nac Phcy Military/U.S. Coast Guard Pharmacy 1 Sanctuary Dr Bldg H100, New Orleans, LA 70142-0001 2006-09-22
1295841005 Anna Mcgee Wibright Pharmacist 2300 General Meyer, New Orleans, LA 70142-0001 2006-08-22
1538123435 Naval Ambulatory Care Center Clinic/Center 2300 General Meyer Ave., Bldg H100, New Orleans, LA 70142-0001 2006-04-17
1366419228 David Charles Bock Physical Therapist Naval Support Activity, New Orleans, LA 70142-0001 2006-02-28
1790755890 Timothy Ellis Quinn Specialist/Technologist, Other Naval Ambulatory Care Center, 2300 General Meyer Av Bldg H-100, New Orleans, LA 70142-0001 2006-01-23

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730119108 Rosanna F. Dooley Physician Assistant 1015 Webster St, New Orleans, LA 70118-5952 2006-07-03
1053314419 Kirt Joseph Talamo Physician Assistant 1514 Jefferson Hwy, New Orleans, LA 70121 2005-05-31
1790347276 Aaron Christopher Bollich Physician Assistant 1221 S Clearview Pkwy, New Orleans, LA 70121-1011 2019-07-03
1790342681 Jacqueline Marie Mills Physician Assistant 411 S Prieur St, New Orleans, LA 70112-2239 2019-05-26
1245897131 Hannah December Jones Physician Assistant 1514 Jefferson Hwy, New Orleans, LA 70121 2019-05-26
1770140824 Caroline A Schulenberg Physician Assistant 3700 Saint Charles Ave, New Orleans, LA 70115 2019-05-23
1427510833 Lauren Bishop Cogley Physician Assistant 2000 Canal St, New Orleans, LA 70112-3018 2019-04-03
1801353115 Samuel David Mcdonald Jr. Physician Assistant 2000 Canal St, New Orleans, LA 70112-3018 2019-02-22
1073084992 Cynthia Lashlee Warner Laviolette Physician Assistant 200 Henry Clay Ave, New Orleans, LA 70118-5798 2018-12-17
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Competitor

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City NEW ORLEANS
Zip Code 70142

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Dataset Information

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.

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