DR. JOHN R SHEPHERD (NPI# 1124079454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124079454 |
| Entity Type | Individual |
| Full Name | DR. JOHN R SHEPHERD |
| Credential | M.D. |
| Practice Address |
3575 Pecos Mcleod Las Vegas NV 89121-3803 |
| Mailing Address |
2921 Augusta Dr Las Vegas NV 89109-1547 |
| Practice Telephone | 7027312088 |
| Practice Fax Number | 7027347836 |
| Mailing Telephone | 7027377389 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2310 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2002450 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992956510 | John Randall Shepherd | Family Medicine | 251 N. Illinois Hwy. 37, Big Muddy Correctional Center, Ina, IL 62846 | 2008-10-01 |
| 1225031271 | John David Shepherd | Internal Medicine | 293 Olmsted Blvd, Ste 7, Pinehurst, NC 28374-9023 | 2005-05-23 |
| 1396373353 | John Shepherd | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-27 |
| 1013465806 | John Bradley Shepherd | Dentist | 7260 S Rainbow Blvd, Las Vegas, NV 89118-4669 | 2016-09-21 |
| 1699943159 | John T Shepherd | Dentist | 1108 N Mechanic St, El Campo, TX 77437-3030 | 2008-02-18 |
| 1265614325 | John D Shepherd | Ophthalmology | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2007-11-30 |
| 1558567115 | John Murdaugh Shepherd Jr. | Dentist | 5249 Olde Towne Rd, Olde Towne Medical Center, Williamsburg, VA 23188-8111 | 2007-06-21 |
| 1972645190 | John David Shepherd | Dentist | 2006 Old Montgomery Hwy, Birmingham, AL 35244-1658 | 2007-02-13 |
| 1699798280 | John M Shepherd | Anesthesiology | 4242 Medical Dr Ste 3100, San Antonio, TX 78229-5642 | 2006-07-25 |
| 1811985070 | John Camp Shepherd | Family Medicine | 2000 W South Boulder Rd, Lafayette, CO 80026-1389 | 2005-10-12 |
| Street Address |
3575 PECOS MCLEOD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291448 | Carolyn Ann Cruvant | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2005-11-02 |
| 1366875213 | Janet Lee | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121 | 2013-08-14 |
| 1841511516 | Emily Claire Schorr | Internal Medicine | 3575 Pecos Mcleod, Las Vegas, NV 89121 | 2010-06-17 |
| 1730409566 | Raymond Barrier Theodosis | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2010-06-03 |
| 1437318409 | Brian Douglas Alder | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2008-06-05 |
| 1629191960 | Shepherd Eye Center | Durable Medical Equipment & Medical Supplies | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2007-04-10 |
| 1346322864 | Kevin N Miller | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2006-10-20 |
| 1154410801 | Tushina A Reddy | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2006-10-12 |
| 1447346416 | Emily L. Fant | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2006-10-05 |
| 1225141674 | Adam J Rovit | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084073 | Trinoveon Corporation | Ophthalmology | 2700 Las Vegas Blvd S Unit 4105, Las Vegas, NV 89109-1174 | 2019-07-11 |
| 1558825687 | Eyecare Associates | Ophthalmology | 2010 Festival Plaza Dr Ste 195, Las Vegas, NV 89135-1455 | 2019-01-23 |
| 1164800827 | Tigran Kostanyan | Ophthalmology | 2110 E Flamingo Rd Ste 210, Las Vegas, NV 89119-5193 | 2015-05-14 |
| 1003251950 | Matthew Swanic M.d., Pllc | Ophthalmology | 9555 S Eastern Ave Ste 250, Las Vegas, NV 89123-8008 | 2013-05-06 |
| 1487914099 | Mazeyar Saboori | Ophthalmology | 5556 S Fort Apache Rd, Las Vegas, NV 89148-7696 | 2012-05-17 |
| 1417214313 | Wonchon Lin | Ophthalmology | 5380 S Rainbow Blvd Ste 108, Las Vegas, NV 89118-1878 | 2012-04-16 |
| 1679839690 | Janice E Eggert Md Ltd | Ophthalmology | 1771 E Flamingo Rd Ste 214a, Las Vegas, NV 89119-0850 | 2012-04-03 |
| 1497023105 | Leslie M Sims Md Pllc | Ophthalmology | 9360 W Flamingo Rd Ste 110, Las Vegas, NV 89147-6446 | 2011-12-08 |
| 1528299377 | Nelson Nerveza Lopez | Ophthalmology | 3100 W Charleston Blvd Ste 204, Las Vegas, NV 89102-1996 | 2009-07-28 |
| 1578791372 | Tyson S.j. Ward | Ophthalmology | 6980 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-8606 | 2009-06-30 |
| Find all providers in LAS VEGAS | ||||
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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.