FREDRIC A. SHEPARD (NPI# 1174680037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174680037 |
| Entity Type | Individual |
| Full Name | FREDRIC A. SHEPARD |
| Credential | M.D. |
| Practice Address |
4102 S Regal St Suite 101 Spokane WA 99223-7737 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 5095352277 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00020814 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8562506 | 05 |
| Street Address |
4102 S REGAL ST SUITE 101 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99223-7737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679865166 | Damon Orthodontics, Pllc | Dentist | 4102 S Regal St, Suite 104, Spokane, WA 99223-5083 | 2011-05-03 |
| 1649561622 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 4102 S Regal St, Suite 101, Spokane, WA 99223-5083 | 2011-04-26 |
| 1194859785 | Kaiser Foundation Health Plan of Washington | Pharmacy | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-03-15 |
| 1205961208 | Veronique T Alcaraz | Internal Medicine | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-02-22 |
| 1588702989 | Stacy N Lake | Pharmacist | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-02-01 |
| 1326186727 | Katherine Laughlin | Pharmacist | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-02-01 |
| 1366599078 | Thomas H. Charles | Physician Assistant | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-01-04 |
| 1710034996 | Joseph J. Charyk | Family Medicine | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253110 | The Anna Schindler Foundation Inc | Lodging | 2322 E 28th Ave, Spokane, WA 99223 | 2018-11-03 |
| 1174018113 | Taylor Bryant Etchart | Massage Therapist | 7040, 3209 E 57th Ave, Suite H, Spokane, WA 99223 | 2018-06-22 |
| 1366958415 | Jennifer Andrea Meroshnik | Massage Therapist | 3210 East 44th Ave, F301, Spokane, WA 99223 | 2017-12-26 |
| 1982060539 | Andrew John David Bingham | Nurse's Aide | 4202 S Regal St, Spokane, WA 99223 | 2016-01-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
| 1346630035 | Inland Empire Therapy Associates | Occupational Therapist | 2527 E. 27th, Suite 100, Spokane, WA 99223 | 2015-02-02 |
| 1396080743 | Karin Lee Gilchrist | Dietitian, Registered | 3019 S. Lloyd Lane, Spokane, WA 99223 | 2012-12-11 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1750638110 | Bobby E Kizer | Psychologist | 4219 E Prairie Lane Ct, Spokane, WA 99223 | 2012-08-04 |
| Find all providers in zip 99223 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916953 | Bavihealth | Family Medicine | 1314 S. Grand Blvd, Ste 2 #142, Spokane, WA 99202-2131 | 2020-03-08 |
| 1407487648 | Direct Primary Care | Family Medicine | 212 E Central Ave Ste 360, Spokane, WA 99208-4502 | 2020-01-27 |
| 1710234190 | Mayfield Family Medicine Pllc | Family Medicine | 5901 N Lidgerwood St Ste 127, Spokane, WA 99208-1122 | 2012-08-06 |
| 1427329762 | Charles Robert Wolfe | Family Medicine | 16320 E Lincoln Rd, Spokane, WA 99217-9571 | 2012-01-18 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1295016145 | Providence Physician Services Co | Family Medicine | 801 W. 5th Ave, Suite 307, Spokane, WA 99204 | 2011-09-06 |
| 1548552326 | Providence Physician Service Co | Family Medicine | 1919 S Grand Ave, Pmg Providence Family Medicine South Grand, Spokane, WA 99204 | 2011-05-11 |
| 1104125418 | David Raymond O'brien | Family Medicine | 1907 W Summit Pkwy Apt 306, Spokane, WA 99201-3133 | 2011-03-25 |
| 1144540915 | Elizabeth A. Turner, Md | Family Medicine | 316 W. Boone, Suite 669, Spokane, WA 99201-2354 | 2010-06-03 |
| 1083949374 | Opportunity Medical | Family Medicine | 16201 E. Indiana Ave, Ste 2300, Spokane, WA 99216-2839 | 2009-10-05 |
| Find all providers in SPOKANE | ||||
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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.