SH MEDICAL GROUP (NPI# 1407307887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407307887 |
| Entity Type | Organization |
| Organization Name | SH MEDICAL GROUP |
| Other Organization Name | ACORN TO OAK PEDIATRICS |
| Practice Address |
1025 Highway 80 Haughton LA 71037-7425 |
| Practice Telephone | 3189490539 |
| Practice Fax Number | 3189490759 |
| Mailing Telephone | 3189490539 |
| Mailing Fax Number | 3189490759 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | STACEY DES MARAIS SPARKS (CO OWNER) |
| Authorized Official Telephone | 3189490539 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD.205277 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1515728 | 05 | |
| LA | PROFESSIONAL LICENSE | MD.205277 | 01 |
| Other Name | Type Code |
|---|---|
| Acorn to Oak Pediatrics | Doing Business As Name - Organization |
| Street Address |
1025 HIGHWAY 80 |
| City | HAUGHTON |
| State | LA |
| Zip Code | 71037-7425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578116 | Thomas G. Latiolais | Pediatrics | 1025 Highway 80, Haughton, LA 71037-7425 | 2005-06-20 |
| 1255680930 | Emily Blythe Phifer Menefee | Physician Assistant | 1025 Highway 80, Haughton, LA 71037-7425 | 2012-09-10 |
| 1578884037 | Thomas G Latiolais Md | Pediatrics | 1025 Highway 80, Haughton, LA 71037-7425 | 2010-06-18 |
| 1063612190 | Cassanda Howell Maxwell | Nurse Practitioner | 1025 Highway 80, Haughton, LA 71037-7425 | 2007-07-18 |
| 1366474124 | Kin Hood Md and Willis-knighton Medical Center | Family Medicine | 1025 Highway 80, Haughton, LA 71037-7425 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480920 | Lance Danos | Physical Therapist | 4615 Us-80, #9, Haughton, LA 71037 | 2020-09-03 |
| 1699392589 | Minden Physician Practices LLC | Clinic/Center | 170 Healthcare Plaza, Haughton, LA 71037 | 2020-06-26 |
| 1427590942 | Elvira Poole | Counselor | 1122 Bellevue Rd., Haughton, LA 71037 | 2016-11-15 |
| 1558622563 | Haughton Vision, LLC | Optometrist | 4010 Hwy 80, Haughton, LA 71037 | 2012-06-06 |
| 1518138528 | Suzanne Owens Craig | Counselor | 1825 Hwy 80 East, Haughton, LA 71037 | 2008-03-18 |
| 1861523730 | Louisiana Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 998 Highway 80, Haughton, LA 71037 | 2007-03-09 |
| 1992832083 | Alan Brent Berry | Dentist | 2900 Hwy. 80 East, Haughton, LA 71037 | 2007-02-27 |
| 1922036763 | Wk Haughton Medical Group | Family Medicine | 1025 Highway 80 E, Haughton, LA 71037 | 2006-06-29 |
| 1063560621 | Evergreen Presbyterian Ministries, Inc. | Intermediate Care Facility, Mentally Retarded | 203 Espanita Blvd, Haughton, LA 71037-5903 | 2007-01-08 |
| 1083044523 | Life Investment Group, LLC | Community/Behavioral Health | 105 E Washington Ave, Haughton, LA 71037-6000 | 2013-11-20 |
| Find all providers in zip 71037 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1083251086 | Total Medical Billing and Healthcare Services LLC | Specialist | 5836 S Oak Dr, Marrero, LA 70072-5257 | 2019-12-09 |
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| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1447749304 | Kelly E Rachal, Dvm | Specialist | 4445 Youree Dr, Shreveport, LA 71105-3618 | 2018-05-07 |
| 1710480736 | Schnell Surgical Services LLC. | Specialist | 3117 Saint Rene St, Metairie, LA 70001-4137 | 2018-03-15 |
| 1841707031 | Jonnika D Allen | Specialist | 3868 Irwin Kuntz Dr, Harvey, LA 70058-2129 | 2018-01-09 |
| Find all providers with the same taxonomy | ||||
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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.