DR. WILLIAM MACON SHEPPARD III (NPI# 1427092501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427092501 |
Entity Type | Individual |
Full Name | DR. WILLIAM MACON SHEPPARD III |
Credential | MD |
Practice Address |
700 Prides Xing Ste 200 Newark DE 19713-6109 |
Practice Telephone | 3029980300 |
Practice Fax Number | 3029985111 |
Mailing Telephone | 3029980300 |
Mailing Fax Number | 3025438456 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-08-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | CI0006510 | DE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 1000015809 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538530654 | William Brad Sheppard | Counselor | 10900 S Pennsylvania Ave Apt 638, Oklahoma City, OK 73170-4247 | 2015-10-15 |
1316019516 | William Laurence Sheppard Jr. | Chiropractor | 720 South Mason Rd., Katy, TX 77450 | 2006-11-14 |
1780616771 | William Robert Sheppard Sr. | Counselor | 1555 Merrimac Circle, Suite 105, Ft. Worth, TX 76107 | 2006-07-07 |
1003462649 | William Sheppard II | Psychologist | 301 W Burlington Ave, Fairfield, IA 52556-3242 | 2019-08-09 |
1265938351 | William Louis Sheppard Jr. | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
1366824732 | William Sheppard | Physical Therapist | 2400 Ardmore Blvd, Suite 700, Pittsburgh, PA 15221-5299 | 2015-06-22 |
1043244452 | William Stephen Sheppard | Physician Assistant | 897 W Main St, Dover Foxcroft, ME 04426-1029 | 2006-07-10 |
1932142221 | William M Sheppard | Family Medicine | 1 Atkinson Dr, Ludington, MI 49431-1906 | 2006-06-14 |
Street Address |
700 PRIDES XING STE 200 |
City | NEWARK |
State | DE |
Zip Code | 19713-6109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487695987 | Michael T. Teixido | Specialist | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-08 |
1942729819 | Thomas Graves | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2017-09-12 |
1033455381 | Junfang Jiao | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2012-12-13 |
1386946333 | Ent and Allergy of Delaware LLC | Specialist | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2010-11-24 |
1114239407 | Jonathan J. Romak | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2010-07-02 |
1710116462 | Gregg H Goldstein | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2009-07-02 |
1225249113 | Sokun Ky Bhatti | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2007-05-24 |
1912128588 | Mark Landis | Nurse Practitioner | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2007-05-01 |
1144258120 | Quan Chung Nguyen | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-29 |
1700828332 | Kieran M. Connolly | Specialist | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
Find all providers in zip 19713 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760644280 | Chan Woo Park | Otolaryngology | 90 Bergen Street- Suite 8100, Department of Otolaryngology, Doc Building, Newark, NJ 07103 | 2008-06-26 |
1467639864 | Jagdeep Singh Hundal | Otolaryngology | 774 Christiana Rd Ste B4, Newark, DE 19713-4219 | 2008-01-28 |
1588745483 | Shaun R Roof | Otolaryngology | 88 Mcmillen Drive, Newark, OH 43055 | 2006-10-18 |
1083646442 | Licking Memorial Professional Corporation | Otolaryngology | 88 Mcmillen Dr, Newark, OH 43055-5814 | 2006-07-07 |
1932102134 | Joseph I Ramzy | Otolaryngology | 774 Christiana Rd, Suite 107, Newark, DE 19713-4236 | 2005-05-23 |
1699225227 | University Physician Associates of New Jersey, Inc | Otolaryngology | 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 | 2016-10-06 |
1497137491 | First State Ent Association Inc | Otolaryngology | 774 Christiana Road, Neuroscience Building Ste B4, Newark, DE 19713-4236 | 2015-06-25 |
1649618596 | Dylan Francis Roden | Otolaryngology | 90 Bergen St # 8100, Newark, NJ 07103 | 2013-06-12 |
1407113921 | Wayne Daniel Hsueh | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2012-04-20 |
1033405139 | Bradley R Lawson | Otolaryngology | 36 Mcmillen Dr, Newark, OH 43055 | 2011-06-27 |
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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.