MARK DEVIN SHEPHERD (NPI# 1376559880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376559880 |
| Entity Type | Organization |
| Organization Name | MARK DEVIN SHEPHERD |
| Other Organization Name | ENDOCRINOLOGY CONSULTANTS, PLLC |
| Practice Address |
670 Crossover Rd Tupelo MS 38801-4944 |
| Mailing Address |
Po Box 4087 Tupelo MS 38803-4087 |
| Practice Telephone | 6628448414 |
| Practice Fax Number | 6628448275 |
| Mailing Telephone | 6628448414 |
| Mailing Fax Number | 6628448275 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DR. MARK D SHEPHERD (DIRECTOR) |
| Authorized Official Telephone | 6628448414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09778731 | 05 | |
| MS | RAILROAD MEDICARE GROUP # | CH0754 | 01 |
| Other Name | Type Code |
|---|---|
| Endocrinology Consultants, PLLC | Other Name - Individual/Organization |
| Street Address |
670 CROSSOVER RD |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891233458 | Amanda Watkins | Nurse Practitioner | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2017-02-03 |
| 1679855159 | Jessica W Eaton | Nurse Practitioner | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2011-09-12 |
| 1932349818 | Kristin A. Mcdaniel | Dietitian, Registered | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2009-03-04 |
| 1861605560 | Leslie R Hale | Nurse Practitioner | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2007-05-08 |
| 1801009592 | Lisa D Foley | Nurse Practitioner | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2007-05-08 |
| 1962512590 | Leonil A. Gan Lim | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-30 |
| 1760499867 | Mark D Shepherd | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1740251941 | Jayant Dey | Internal Medicine | 4250 S Eason Blvd, Tupelo, MS 38801-6549 | 2006-01-27 |
| 1457322661 | Endocrine & Metabolic Disorders Institute Pllc | Internal Medicine | 910 Mary Vance Drive, Tupelo, MS 38801-0000 | 2006-01-27 |
| 1710988977 | Sherry Alcorn Martin | Internal Medicine | 607 Garfield St, Tupelo, MS 38801-6337 | 2005-08-09 |
| 1326274739 | North Mississippi Endocrine Center | Internal Medicine | 65 S Thomas St, Tupelo, MS 38801-4352 | 2009-06-01 |
| 1962512590 | Leonil A. Gan Lim | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-30 |
| 1760499867 | Mark D Shepherd | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-02 |
| 1336140847 | Sherry A. Martin Endocrine Clinic | Internal Medicine | 607 Garfield St, Tupelo, MS 38801-6337 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761129 | Dcgm, Inc | Internal Medicine | 1040 River Oaks Dr Ste 302, Flowood, MS 39232-9575 | 2018-12-11 |
| 1669727228 | Farah Naz Mushtaq | Internal Medicine | 5909 U S Highway 49 Ste 30, Hattiesburg, MS 39402-2860 | 2012-07-19 |
| 1649404435 | Memorial Hospital At Gulfport | Internal Medicine | 970 Tommy Munro Dr, Biloxi, MS 39532-2130 | 2009-05-07 |
| 1396808879 | Oxford Endocrinology Consultants, P.C. | Internal Medicine | 512 Azalea Drive, Oxford, MS 38655 | 2006-12-18 |
| 1376553222 | Richard J Galloway | Internal Medicine | 5909 Us Highway 49, Suite 30, Hattiesburg, MS 39401 | 2006-08-09 |
| 1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
| 1366498677 | Linda Mary Dales | Internal Medicine | 1516 23rd Ave, Meridian, MS 39301-4026 | 2006-05-26 |
| 1588617997 | Beverly Lansden | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2006-05-18 |
| 1730138231 | Diabetes & Endocrine Institute, Pllc | Internal Medicine | 2610 Courthouse Cir, Flowood, MS 39232-9562 | 2006-05-10 |
| 1134671787 | Jackson Thyroid & Endocrine Clinic Pllc | Internal Medicine | 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
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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.