DR. CHARLES WEBSTER SHEPARD (NPI# 1376713107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376713107 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WEBSTER SHEPARD |
| Credential | M.D. |
| Practice Address |
2530 Chicago Avenue South Suite 500 Minneapolis MN 55404 |
| Mailing Address |
2530 Chicago Ave Ste 500 Minneapolis MN 55404-4291 |
| Practice Telephone | 6128138800 |
| Mailing Telephone | 6128138800 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
50718 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497182570 | Charles Shepard | Counselor | 2322 Blue Stone Hills Dr, Suite 280, Harrisonburg, VA 22801-5403 | 2013-10-03 |
| 1477563179 | Charles A Shepard | Internal Medicine | 859 Mankato Ave, Winona, MN 55987 | 2006-08-08 |
| Street Address |
2530 CHICAGO AVENUE SOUTH SUITE 500 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649723511 | Ryan Greene | Pediatrics | 2450 Riverside Ave Bldg M663, Minneapolis, MN 55454-1450 | 2016-07-27 |
| 1932392347 | Shashi Raj | Pediatrics | 2525 Chicago Ave Ste 500, Minneapolis, MN 55404-4518 | 2007-08-20 |
| 1346280351 | Barbara Kelly Gleason Han | Pediatrics | 800 E 28th St, Suite H2100, Minneapolis Heart Institute, Minneapolis, MN 55407 | 2006-06-07 |
| 1659877181 | Massimo Griselli | Pediatrics | University of Minnesota Physicians, 500 Harvard Street Se, Minneapolis, MN 55455-0363 | 2018-04-03 |
| 1841738952 | Children's Health Care | Pediatrics | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2017-02-09 |
| 1801141502 | Varun Aggarwal | Pediatrics | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2012-07-18 |
| 1285992354 | Joanna M Lowisz | Pediatrics | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2012-04-26 |
| 1346506961 | Kavisha Milesh Shah | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2012-04-09 |
| 1740599513 | Marko Vezmar | Pediatrics | 2530 Chicago Ave, Ste 500, Minneapolis, MN 55404-4291 | 2010-09-28 |
| 1720304439 | Stacie Marie Knutson | Pediatrics | 2450 Riverside Ave, East Building, Room Mb560, Minneapolis, MN 55454-1450 | 2010-04-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.