Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charise Shively Fashho, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1376800987

Charise Shively Fashho, MD is an Obstetrics/Gynecology in Lafayette, Louisiana. Graduated from Tulane University School of Medicine in 2012, 14 years ago. Practices with Lourdes Physician Group LLC, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Louisiana.

Years since qualifying
14
Trained at
Tulane University School of Medicine
Licensed in
KY, LA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone: (337) 521-9100
Fax: (337) 470-2019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 California St Ste 1400, San Francisco, CA 94104-2116 — (831) 484-7713

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 206884 (LA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 48824 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (LA)

Record details

NPI number1376800987
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Lourdes Physician Group Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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