PETER M. SHEPARD (NPI# 1023051232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023051232 |
| Entity Type | Individual |
| Full Name | PETER M. SHEPARD |
| Credential | M.D. |
| Practice Address |
1620 Hospital Dr Southwestern Ear Nose and Throat Associates Santa Fe NM 87505-4754 |
| Practice Telephone | 5059824848 |
| Practice Fax Number | 5059841149 |
| Mailing Telephone | 5059824848 |
| Mailing Fax Number | 5059841149 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2009-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD2009-0111 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
1620 HOSPITAL DR SOUTHWESTERN EAR NOSE AND THROAT ASSOCIATES |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795432 | Colleen N Feldewert | Audiologist | 1620 Hospital Dr, Santa Fe, NM 87505-4754 | 2019-11-25 |
| 1932608114 | Kaya Florina Peterson | Audiologist | 1620 Hospital Dr, Santa Fe, NM 87505-4754 | 2018-02-02 |
| 1861779035 | Laura E Gonzalez | Audiologist | 1620 Hospital Dr, Santa Fe, NM 87505-4754 | 2011-11-15 |
| 1598940033 | St Vincent Hospital | Otolaryngology | 1620 Hospital Dr, Santa Fe, NM 87505 | 2008-01-03 |
| 1932315751 | Maureen A Coleman | Chiropractor | 1620 Hospital Dr, Santa Fe, NM 87505-4754 | 2007-05-16 |
| 1467672543 | Kathleen M Weidner | Audiologist-Hearing Aid Fitter | 1620 Hospital Dr, Southwestern Ear Nose & Throat Pa, Santa Fe, NM 87505-4743 | 2007-04-30 |
| 1548485345 | Eileen Marie Ocampo | Audiologist | 1620 Hospital Dr, Santa Fe, NM 87505-4743 | 2007-04-16 |
| 1174748438 | David Ward Yegerlehner | Audiologist | 1620 Hospital Dr, Santa Fe, NM 87505-4743 | 2007-04-13 |
| 1962539965 | Roger G Wiggins | Psychiatry & Neurology | 1620 Hospital Dr, Santa Fe, NM 87505-4754 | 2007-02-27 |
| 1063580645 | Paul W Kaufman | Otolaryngology | 1620 Hospital Dr, Santa Fe, NM 87505-4743 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841432473 | Tara Eileen Brennan | Otolaryngology | Unm Dept of Surgery Msc10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-03-27 |
| 1073786521 | Shane Andrew Gailushas | Otolaryngology | 8200 Carmel Ave Ne, Suite 102a, Albuquerque, NM 87122-2941 | 2008-04-04 |
| 1487847174 | Byron Drake Erstine | Otolaryngology | 2907 Hillrise Dr, Las Cruces, NM 88011-4701 | 2007-08-25 |
| 1235335894 | Barry D. Nagel, Md, PC | Otolaryngology | 1020 Tijeras Ave Ne, Suite 22, Albuquerque, NM 87106-4749 | 2007-06-21 |
Please comment or provide details below to improve the information on PETER M. SHEPARD.
| 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.