THOMAS AKERS SHEPARD (NPI# 1578694378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578694378 |
| Entity Type | Individual |
| Full Name | THOMAS AKERS SHEPARD |
| Credential | PA-C |
| Practice Address |
4112 Outlook Blvd Suite 37 Pueblo CO 81008-1667 |
| Practice Telephone | 7195626300 |
| Practice Fax Number | 7195626375 |
| Mailing Telephone | 7195626300 |
| Mailing Fax Number | 7195626375 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 64 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710257761 | Thomas Shepard | Pharmacist | 801 Royal Pkwy, Suite 105, Nashville, TN 37214-3749 | 2012-01-09 |
| Street Address |
4112 OUTLOOK BLVD SUITE 37 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447233432 | Richard N. Nanes | Emergency Medicine | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2005-11-22 |
| 1487262689 | Patricia A Turner | Nurse Practitioner | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2020-07-14 |
| 1932648490 | Jordan T. Rhodes | Physical Therapist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2017-02-16 |
| 1952769812 | Samantha Correia | Physical Therapist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2016-02-08 |
| 1003295346 | Karen Bishop | Physical Therapist | 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008-1667 | 2015-05-19 |
| 1871992321 | Ryanne Leah Gromatzky | Physical Therapist | 4112 Outlook Blvd, 96, Pueblo, CO 81008-1667 | 2014-08-21 |
| 1801218284 | Pamela Drummond | Registered Nurse | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2014-01-20 |
| 1568896959 | Sarah Elizabeth Whiteman | Physical Therapist | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 | 2013-08-21 |
| 1336487297 | Leslie Dallas | Physical Therapist | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 | 2013-01-27 |
| 1780942441 | Betty Ann Massino | Massage Therapist | 4112 Outlook Blvd, Suite #96, Pueblo, CO 81008-1667 | 2012-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527652 | Li Ashley Lim | Physician Assistant | 132 W B St Apt 3k, Pueblo, CO 81003-3446 | 2020-10-26 |
| 1104366178 | Alfe Garperio | Physician Assistant | 2625 W Pueblo Blvd, Pueblo, CO 81004-3816 | 2017-02-24 |
| 1871895995 | A Theodore Smith | Physician Assistant | 1600 West 24th Street, Colorado Mental Health Institute At Pueblo, Pueblo, CO 81003 | 2010-11-22 |
| 1689793812 | Paul Whitney Safford | Physician Assistant | 600 West 16th St, Pueblo, CO 81003 | 2007-03-28 |
| 1740347996 | Jose Luis Ramirez | Physician Assistant | 45825 Highway 96 East, Pueblo, CO 81006 | 2007-01-03 |
| 1932217635 | Juliana Schrettner | Physician Assistant | 1600 N Greenwood, 520, Pueblo, CO 81003 | 2006-08-25 |
| 1427046077 | James L Kramer | Physician Assistant | 1008 Minnegua Ave, Emergency Room, Pueblo, CO 81004 | 2005-10-07 |
| 1306846381 | Lucas R Derting | Physician Assistant | 1600 North Grand Avenue, Suite 500, Pueblo, CO 81003-2757 | 2005-07-29 |
| 1922001700 | Stephen D Bast | Physician Assistant | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2005-05-24 |
| 1245863257 | Anna Elizabeth Inserra | Physician Assistant | 1315 Fortino Blvd, Pueblo, CO 81008-1981 | 2020-02-18 |
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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.