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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04261 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1037052 | 05 | |
| NATIONAL CERTIFICATION | 1049767 | 01 | |
| LA | LICENSE | PA200160 | 01 |
| TX | LICENSE | PA04261 | 01 |
| Street Address |
2300 GENERAL MEYER AVE BLDG H100 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70142-0001 |
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447222 | Caitlin Mcginn Seelie | Counselor | 1932 Audubon St, New Orleans, LA 70118-5516 | 2020-11-06 |
| 1871193540 | Dudley Paul Malveaux IIi | Driver | 3606 Desire Pkwy, New Orleans, LA 70126 | 2020-10-30 |
| 1760082952 | Jimani Blackwell Dds LLC | Clinic/Center | 8015 Maple St, New Orleans, LA 70118-2738 | 2020-10-28 |
| 1083213920 | Asiha Lewis | Non-emergency Medical Transport (VAN) | 4318 Paris Ave, New Orleans, LA 70122-2404 | 2020-10-21 |
| 1134727514 | Shatiya Reshun Williams | Case Manager/Care Coordinator | 6121 Dauphine St, New Orleans, LA 70117-2109 | 2020-10-16 |
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1144828203 | Nia Beasley | Dentist | 1312 Octavia St, New Orleans, LA 70115-4225 | 2020-10-12 |
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1558968859 | Lydia Gilchrist | Massage Therapist | 2436 Bristol Pl, New Orleans, LA 70131-3712 | 2020-10-08 |
| 1982201547 | Keiara Shermetra Cline | Case Manager/Care Coordinator | 1351 Burbank Dr, New Orleans, LA 70122-2031 | 2020-10-07 |
| Find all providers in NEW ORLEANS | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| 1023592797 | Anna Mcdermott | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2018-09-19 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70142 |
Please comment or provide details below to improve the information on RICHARD LEE SHOMO.
| 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.