SUZANNE MARIE SHEPHERD (NPI# 1104072974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104072974 |
| Entity Type | Individual |
| Full Name | SUZANNE MARIE SHEPHERD |
| Credential | MD |
| Practice Address |
1024 S Lemay Ave Fort Collins CO 80524-3929 |
| Mailing Address |
2008 Caribou Dr Fort Collins CO 80525-4325 |
| Practice Telephone | 9704957000 |
| Practice Fax Number | 9704957639 |
| Mailing Telephone | 9704844757 |
| Mailing Fax Number | 9704844759 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
CDRH.0054631 | CO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A110874 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40700 California Oaks Rd Ste 103, Murrieta, CA 925625789 | 9518944418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847652 | Suzanne Shepherd | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2019-12-02 |
| 1518907518 | Suzanne M Shepherd | Emergency Medicine | 3400 Spruce Street, Ground Silver Stein Bldg, Philadelphia, PA 19104 | 2006-06-07 |
| Street Address |
1024 S LEMAY AVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659181 | Dennis P. Brant | Emergency Medicine | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2005-06-17 |
| 1164021911 | Poudre Valley Medical Group, LLC | Social Worker | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-10-22 |
| 1710593611 | Poudre Valley Medical Group, LLC | Registered Nurse | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-09-17 |
| 1902419120 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-08-27 |
| 1467065680 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-08-27 |
| 1356953939 | Denise Patten | Pharmacist | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-08-17 |
| 1609484302 | Poudre Valley Medical Group, LLC | Internal Medicine | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-07-20 |
| 1396369492 | Whitney Raye Pollard | Counselor | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-06-04 |
| 1922620897 | Poudre Valley Medical Group, LLC | General Practice | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-05-13 |
| 1134740913 | Haley R Rider | Speech-Language Pathologist | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855905 | Cher LLC | Radiology | 2236 E Harmony Rd, Fort Collins, CO 80528-3412 | 2020-09-10 |
| 1902821655 | Thomas Joseph Luttenegger | Radiology | 3248 Nelson Ln, Fort Collins, CO 80525-2861 | 2006-07-13 |
| 1437174182 | Richard John Pacini | Radiology | 1437 Last Oak Ct, Fort Collins, CO 80525-5581 | 2006-07-13 |
| 1669497301 | John Richardson Bodenhamer | Radiology | 1001 Belvedere Ct, Fort Collins, CO 80525-6706 | 2006-07-13 |
| 1831123579 | Harmony Imaging Center LLC | Radiology | 2127 Harmony Rd, Fort Collins, CO 80528 | 2006-07-10 |
| 1033142450 | Tracy Haefele Florant | Radiology | 430 Spinnaker Ln, Fort Collins, CO 80525-5905 | 2006-07-09 |
| 1326075003 | Jamie S Colonnello | Radiology | 2008 Caribou Dr, Fort Collins, CO 80525-4325 | 2006-06-27 |
| 1215340633 | Justin Fradley Monroe | Radiology | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2014-06-03 |
| 1902224017 | Nicholas Dickson | Radiology | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2014-04-04 |
| 1003251836 | Michael Larson | Radiology | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2013-05-07 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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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.