WILLIAM R SHEPARD (NPI# 1427310895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427310895 |
| Entity Type | Individual |
| Full Name | WILLIAM R SHEPARD |
| Credential | DO |
| Practice Address |
1139 3rd St South Lake Tahoe CA 96150 |
| Mailing Address |
1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 |
| Practice Telephone | 5305435691 |
| Practice Fax Number | 5305422872 |
| Mailing Telephone | 5305435659 |
| Mailing Fax Number | 5305418723 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2018-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | DO2454 | NV | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 20A16448 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1040 Nw 22nd Ave Ste 520, Portland, OR 972103097 | 5034137557 | 5034136547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952712853 | William Duncan Shepard | Dentist | 2450 Fondren Rd Ste 320, Houston, TX 77063-2320 | 2014-05-13 |
| 1528158516 | William Shepard | Anesthesiology | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2006-10-13 |
| 1548225899 | William D Shepard | Psychologist | 3811 Turtle Creek Blvd., Suite 305, Dallas, TX 75219-4542 | 2006-04-19 |
| Street Address |
1139 3RD ST |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750372116 | Christopher S Proctor | Physical Therapist | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2005-11-03 |
| 1831483767 | Tahoe Orthopedics and Sports Medicine, Inc | Orthopaedic Surgery | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2011-06-08 |
| 1740589472 | Brett Erica Sibley | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2011-03-21 |
| 1205145703 | Jessica Marie Starr | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2010-09-30 |
| 1700104429 | Rituparna Das | Psychiatry & Neurology | 1139 3rd St, South Lake Tahoe, CA 96150 | 2010-05-05 |
| 1679716914 | Kyle Erkkila | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2009-04-16 |
| 1306086327 | Lake Tahoe Orthopaedic Institute | Durable Medical Equipment & Medical Supplies | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2009-03-03 |
| 1891943528 | James Jonathan Pratt | Specialist/Technologist | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2008-09-06 |
| 1043477011 | Nancy Hedquist | Registered Nurse | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2008-05-19 |
| 1952351975 | William Hershel Cottrell | Orthopaedic Surgery | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328011 | Gregory Gene Eyre | Surgery | 2158 Jean Ave, South Lake Tahoe, CA 96150-3412 | 2005-07-06 |
| 1457518946 | Kimberly Anne Evans | Surgery | 2158 Jean Ave, South Lake Tahoe, CA 96150-3412 | 2008-05-21 |
| 1922089408 | Sandra J Taylor | Surgery | 2158 Jean Ave, South Lake Tahoe, CA 96150 | 2005-11-10 |
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| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
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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.