SIMEON SHEPARD (NPI# 1013434398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013434398 |
| Entity Type | Individual |
| Full Name | SIMEON SHEPARD |
| Practice Address |
13238 Royal George Ave Odessa FL 33556 |
| Mailing Address |
13238 Royal George Ave Odessa FL 33556-5724 |
| Practice Telephone | (386) 566-1949 |
| Mailing Telephone | 3865661949 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
119725 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
13238 ROYAL GEORGE AVE |
| City | ODESSA |
| State | FL |
| Zip Code | 33556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831623867 | Acs Medical Enterprises Inc | Clinic/Center | 13238 Royal George Ave, Odessa, FL 33556-5724 | 2017-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1790244267 | Gabriela Fernandez Strickland | Psychologist | 16117 Lytham Drive, Odessa, FL 33556 | 2019-03-14 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1366671927 | Manik S Bedi | Dentist | 17751 Gunn Hwy, Odessa, FL 33556 | 2009-07-03 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
| 1508384124 | Lacie Gunter | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556 | 2017-09-04 |
| Find all providers in zip 33556 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225418429 | Arthur E Miller IIi | Specialist/Technologist, Other | 6401 Eastridge Rd Apt 1508, Odessa, TX 79762-5239 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275349 | Ydalina Inmaculada Coste Jimenez | Specialist/Technologist, Other | 6817 College Ct Apt 103, Davie, FL 33317-7169 | 2020-11-07 |
| 1508467374 | Anthony Arias Bravo | Specialist/Technologist, Other | 2380 Fairmont Ave, Miramar, FL 33025-3818 | 2020-11-06 |
| 1831798206 | Yanosit Garcia | Specialist/Technologist, Other | 7945 W 31st Ct, Hialeah, FL 33018-3852 | 2020-10-18 |
| 1043819485 | Vivian Martin | Specialist/Technologist, Other | 3401 Sw 10th St Apt 4, Miami, FL 33135-4431 | 2020-10-17 |
| 1891394243 | Tami Coromoto Fort | Specialist/Technologist, Other | 3433 Garden Ave Apt 4, Miami Beach, FL 33140-3847 | 2020-10-17 |
| 1144829581 | Diana Carolina Villalba Pena | Specialist/Technologist, Other | 555 S Luna Ct Apt 111, Hollywood, FL 33021-7564 | 2020-10-17 |
| 1871192211 | Luis Enrique Perez Sanchez | Specialist/Technologist, Other | 15411 Sw 77th Circle Ln Apt 205, Miami, FL 33193-1823 | 2020-10-17 |
| 1598376493 | Melissa Croskey | Specialist/Technologist, Other | 7271 Bucks Ford Dr, Riverview, FL 33578-8379 | 2020-08-13 |
| 1114545498 | Genesis Navas | Specialist/Technologist, Other | 1330 Coral Way Ste 306, Miami, FL 33145-2945 | 2020-07-13 |
| 1629696786 | Indhira Y Pena | Specialist/Technologist, Other | 20 Commodore Dr Apt 114, Plantation, FL 33325-2676 | 2020-07-06 |
| 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.