DR. FOREST RAYMOND SHEPPARD (NPI# 1053468140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053468140 |
Entity Type | Individual |
Full Name | DR. FOREST RAYMOND SHEPPARD |
Credential | MD |
Practice Address |
887 Congress St Ste 210 Portland ME 04102-3166 |
Mailing Address |
190 Riverside St Unit 6b Portland ME 04103-1073 |
Practice Telephone | 2077746368 |
Practice Fax Number | 2077749388 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2018-03-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | MD21994 | ME | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 2017021721 | MO | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD21994 | ME | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
2017021721 | MO | Allopathic & Osteopathic Physicians |
Street Address |
887 CONGRESS ST STE 210 |
City | PORTLAND |
State | ME |
Zip Code | 04102-3166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124005806 | Daniel C. Cullinane | Surgery | 887 Congress St Ste 210, Portland, ME 04102 | 2005-12-23 |
1881920908 | Robin Mcnamara | Physician Assistant | 887 Congress St Ste 210, Portland, ME 04102-3166 | 2009-10-23 |
1104098110 | Laura Teresa Withers | Surgery | 887 Congress St Ste 210, Portland, ME 04102-3166 | 2008-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
Find all providers in zip 04102 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386168029 | Northwest Minimally Invasive Surgery, LLC | Surgery | 2222 Nw Lovejoy St Ste 322, Portland, OR 97210-5101 | 2017-08-02 |
1366897399 | Andreas Hennig | Surgery | 783 Nw Naito Pkwy Apt 502, Portland, OR 97209-4755 | 2016-04-27 |
1871989467 | Cameron Cangelose | Surgery | 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239-3098 | 2015-04-09 |
1396157962 | Fernando Leon | Surgery | 2221 Sw First Ave Apt 2322, Portland, OR 97201-5023 | 2014-05-29 |
1114337466 | Thomas B Knowles | Surgery | 1130 Nw 22nd Ave Ste 500, Portland, OR 97210-2976 | 2014-05-07 |
1659714160 | Sean Tyler Watters | Surgery | 5050 Ne Hoyt St Ste 651, Portland, OR 97213 | 2013-04-15 |
1528301926 | Vincent A. Reger, Md PC | Surgery | 9155 Sw Barnes Rd Ste 406, Portland, OR 97225-6641 | 2013-04-03 |
1235496944 | Lori Cardwell | Surgery | Ohsu Gastrointestinal & General Surgery At Chh, 3303 Sw Bond Avenue, Portland, OR 97239-4501 | 2012-04-19 |
1053678284 | Tyler Scott Mittelstaedt | Surgery | 9200 Se 91st Ave Ste 320, Portland, OR 97086-3756 | 2012-04-12 |
1285990721 | John David Webber | Surgery | 12155 Sw Wildwood St, Portland, OR 97224-2919 | 2012-04-10 |
Find all providers in PORTLAND |
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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.