DR. MARY ELIZABETH SHEPHERD (NPI# 1144210352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144210352 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH SHEPHERD |
| Credential | M.D.,PH.D. |
| Practice Address |
12545 Riata Vista Cir Austin TX 78727-6524 |
| Mailing Address |
Po Box 171179 Austin TX 78717-0041 |
| Practice Telephone | 5125261776 |
| Practice Fax Number | 5122981277 |
| Mailing Telephone | 5125261776 |
| Mailing Fax Number | 5122981277 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | H6599 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 105402503 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8B8802 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6655 Travis St, Suite 980, Houston, TX 770301312 | 7135008333 | 7135008323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506035 | Mary Lohse Shepherd | Physical Therapist | 200 Hawkins Dr # 733jpp, Iowa City, IA 52242-1009 | 2020-04-16 |
| 1487008868 | Mary Shepherd | Developmental Therapist | 1050 Shanklin Rd, Mayslick, KY 41055-9400 | 2016-04-21 |
| 1720356306 | Mary Elizabeth Shepherd | Nurse's Aide | 765 Aprile Ave S, Lehigh Acres, FL 33974-2520 | 2011-12-09 |
| 1992957195 | Mary Susan Shepherd | Registered Nurse | 5255 Pine Crest Rd, Rhinelander, WI 54501-9231 | 2008-10-21 |
| 1396129359 | Mary Katherine Shepherd | Pharmacist | 2240 N Roan St, Johnson City, TN 37601-2521 | 2015-07-18 |
| 1932411899 | Mary Beth Shepherd | Counselor | 6412 Bannington Rd, Charlotte, NC 28226-1327 | 2010-07-08 |
| 1013231455 | Mary E Shepherd | Licensed Practical Nurse | 209 N Main St, Attica, OH 44807-9479 | 2010-03-14 |
| Street Address |
12545 RIATA VISTA CIR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-6524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417237025 | Asha Alex | Internal Medicine | 12545 Riata Vista Cir, Austin, TX 78727-6524 | 2011-08-26 |
| 1164489928 | Shermin Patel | Registered Nurse | 12545 Riata Vista Cir, Austin, TX 78727-6524 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962864488 | Mark Correa | Dermatology | 4419 Frontier Trl Ste 110, Austin, TX 78745-1567 | 2016-03-23 |
| 1699166991 | Elizabeth L Foley | Dermatology | 505 W Louis Henna Blvd Ste 200, Austin, TX 78728-1703 | 2015-02-09 |
| 1225461924 | Nicholas R Snavely Md | Dermatology | 10815 Rr 2222 Bldg 3a Ste 200, Austin, TX 78730-1159 | 2013-08-16 |
| 1730521113 | James William Green | Dermatology | 9108 Zyle Rd, Austin, TX 78737 | 2013-07-25 |
| 1568808459 | On Site Dermatology of Texas Pllc | Dermatology | 6500 River Place Blvd, Suite 250, Building 7, Austin, TX 78730-1119 | 2013-05-17 |
| 1699044800 | Balcones Dermatology Associates, P.a. | Dermatology | 8240 N. Mo Pac Expwy, Ste 350, Austin, TX 78759 | 2011-12-16 |
| 1689957169 | Sanova Dermatology Pllc | Dermatology | 12319 N Mopac Expy Ste 100, Austin, TX 78758-2486 | 2011-09-21 |
| 1740573997 | Olubusayo Obayan | Dermatology | 3303 Northland Dr Ste 308, Austin, TX 78731 | 2011-05-20 |
| 1306166152 | Elizabeth Rebecca Geddes-bruce | Dermatology | 3637 Far West Blvd Ste E, Austin, TX 78731-4126 | 2010-06-03 |
| 1033437835 | Stanley Tyler Hollmig | Dermatology | 1601 Trinity St Ste 704b, Austin, TX 78712 | 2010-05-04 |
| Find all providers in AUSTIN | ||||
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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.