DAVID JAMES SHEPHERD JR. (NPI# 1174529986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174529986 |
| Entity Type | Individual |
| Full Name | DAVID JAMES SHEPHERD JR. |
| Credential | MD |
| Practice Address |
721 W Broadway Ave Ste D Enid OK 73701-3800 |
| Mailing Address |
Po Box 3046 Malvern PA 19355-0746 |
| Practice Telephone | 5802370322 |
| Practice Fax Number | 5802330402 |
| Mailing Telephone | 5802370322 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 12880 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE PTAN | P00066745 | 01 | |
| OK | 100123330A | 05 | |
| BLUE CROSS ID | 730776935005 | 01 | |
| DEA | AS 1080302 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902066442 | David Carlton Shepherd | Internal Medicine | 5550 Vessey Rd, Colorado Springs, CO 80908-3288 | 2008-06-09 |
| 1730166893 | David L Shepherd | Urology | 801 W I 20 Ste 1, Arlington, TX 76017-5851 | 2005-12-29 |
| 1871874016 | David R Shepherd | Pharmacist | 198 E Main St, Hendersonville, TN 37075-2520 | 2011-09-01 |
| 1821127226 | David Scott Shepherd Jr. | Pharmacist | 279 Boston Post Rd, Orange, CT 06477-3558 | 2007-03-04 |
| 1235279746 | David W Shepherd | Surgery | 330 S 5th St Ste 401, Enid, OK 73701-5863 | 2007-02-07 |
| 1356380802 | David Martin Shepherd | Ophthalmology | 41935 W 12 Mile Rd, 103, Novi, MI 48377-3111 | 2006-06-06 |
| 1942266911 | David W Shepherd | Nurse Anesthetist, Certified Registered | 303 S Main St, Bluffton, IN 46714-2503 | 2006-04-26 |
| Street Address |
721 W BROADWAY AVE STE D |
| City | ENID |
| State | OK |
| Zip Code | 73701-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563834 | Brittanye Kayleen Whitaker | Nurse Practitioner | 721 W Broadway Ave Ste D, Enid, OK 73701-3800 | 2018-10-05 |
| 1407840846 | Dennis Keith Mcintyre | Internal Medicine | 721 W Broadway Ave Ste D, Enid, OK 73701-3800 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487800512 | Integris Rural Health Inc | Internal Medicine | 402 S Oakwood Rd Ste B, Enid, OK 73703-4945 | 2008-08-08 |
| 1093972069 | Daniel D. Washburn, M.d. | Internal Medicine | 1815 E Maple Ave, Enid, OK 73701-4557 | 2008-05-19 |
| 1740302751 | St. Mary's Physician Associates, LLC | Internal Medicine | 302 N Independence St, Suite 300, Enid, OK 73701-4097 | 2007-04-03 |
| 1538189212 | Kevin Brent Kourt | Internal Medicine | 620 S Madison St Ste 209, Enid, OK 73701-7270 | 2006-07-19 |
| 1013901461 | Daniel Dean Washburn | Internal Medicine | 615 E Oklahoma Ave Ste 208, Enid, OK 73701-5952 | 2005-08-31 |
| 1881693752 | Cristopher D Schultz | Internal Medicine | 330 E Cherokee Ave, Enid, OK 73701-5714 | 2005-07-21 |
| 1497751259 | Michael Zane Rickman | Internal Medicine | 721 W Broadway Ave, Enid, OK 73701-3880 | 2005-06-24 |
| 1912347618 | Yasir Usman | Internal Medicine | 620 S Madison St, Enid, OK 73701-7273 | 2013-06-27 |
| 1083874267 | Sarah Beth Matousek | Internal Medicine | 620 S Madison St Ste 209, Enid, OK 73701-7270 | 2008-06-11 |
| 1891917027 | Enid Internal Medicine Associates | Internal Medicine | 330 E Cherokee Ave, Enid, OK 73701-5714 | 2007-05-03 |
| Find all providers in ENID | ||||
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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.