SHEPPARD PENG (NPI# 1376962035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376962035 |
| Entity Type | Individual |
| Full Name | SHEPPARD PENG |
| Credential | D.O. |
| Practice Address |
206 2nd St E Bradenton FL 34208-1042 |
| Mailing Address |
4802 51st St W #1013 Bradenton FL 34210-5101 |
| Practice Telephone | 9417465111 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2015-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 741852963 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
206 2ND ST E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522997 | Lawrence George Manco | Radiology | 206 2nd St E, Bradenton, FL 34208-1042 | 2005-10-14 |
| 1801494117 | Sarah Louise Harper | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-10-09 |
| 1467067371 | Jessica Shacklett | Nurse Practitioner | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-09-09 |
| 1528680808 | Harrison Browning | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-05-10 |
| 1467073254 | Juan Dangond Gomez | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-05-03 |
| 1821619289 | Maniekha Maharaj | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-27 |
| 1063033447 | Melissa Vilar | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1000 | 2020-04-27 |
| 1659991040 | Klaudio Alla | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-26 |
| 1376163733 | Ahmed Ali Alhassani | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1000 | 2020-04-25 |
| 1821618331 | Shivan Ramsamooj | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588181358 | Shadrick Kralik | General Practice | 1700 3rd Ave W, Bradenton, FL 34205-5946 | 2017-08-23 |
| 1891166435 | Synergy Medical LLC | General Practice | 6156 53rd Ave E, Bradenton, FL 34203-9707 | 2015-10-08 |
| 1013144708 | Frantz Simeon | General Practice | 6540 Anchor Loop Apt 104, Bradenton, FL 34212-4414 | 2009-06-19 |
| 1215148457 | Jaime Francisco Rubio | General Practice | 2114 Manatee Ave E, Bradenton, FL 34208 | 2007-05-26 |
| 1609889567 | John Andrew Pfeilsticker | General Practice | 6302 Manatee Ave W, Suite I-2, Bradenton, FL 34209-2377 | 2006-08-14 |
| 1962482117 | Lindy Allison Taylor | General Practice | 7612 Senrab Dr, Bradenton, FL 34209 | 2006-01-21 |
| 1548770118 | Taylor Mobile Med | General Practice | 7612 Senrab Dr, Bradenton, FL 34209-3228 | 2017-10-09 |
| 1003270109 | Ali Zaidi | General Practice | 206 2nd St E, Bradenton, FL 34208-1042 | 2016-04-05 |
| 1538559885 | Dr. Raul Correa | General Practice | 2505 Manatee Ave W, Bradenton, FL 34205-4935 | 2015-01-26 |
| 1972936375 | Clinica Dr Rubio LLC | General Practice | 2114 Manatee Ave E, Bradenton, FL 34208 | 2013-08-21 |
| Find all providers in BRADENTON | ||||
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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.