MR. MARK GREGORY SHEPPARD I (NPI# 1659535821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659535821 |
| Entity Type | Individual |
| Full Name | MR. MARK GREGORY SHEPPARD I |
| Credential | L.C.D.C |
| Practice Address |
3131 Custer Rd 265 Plano TX 75075-4419 |
| Practice Telephone | 9729857565 |
| Practice Fax Number | 8886640571 |
| Mailing Telephone | 9729857565 |
| Mailing Fax Number | 8886640571 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9006 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922173582 | Mark Wilson Sheppard | Dentist | 77 Southway Ave Ste A, Lewiston, ID 83501-2203 | 2006-11-21 |
| 1962735514 | Mark S Sheppard | Pharmacist | 3534 Mount Holly Huntersville Rd, Charlotte, NC 28216-8644 | 2009-09-15 |
| Street Address |
3131 CUSTER RD 265 |
| City | PLANO |
| State | TX |
| Zip Code | 75075-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790108470 | Accuquest Hearing Center | Clinic/Center | 3131 Custer Rd, Suite 155, Plano, TX 75075-4419 | 2014-01-30 |
| 1689998171 | Jacques Soares Lace | Technician/Technologist | 3131 Custer Rd, S/ 155, Plano, TX 75075-4419 | 2010-03-26 |
| 1275857765 | Jcques Family Optical | Eyewear Supplier (Equipment, not the service) | 3131 Custer Rd, S/ 155, Plano, TX 75075-4419 | 2010-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
| 1730734997 | Heather L Blasingame | Counselor | 101 E Park Blvd Ste Office47, Plano, TX 75074-5483 | 2019-08-05 |
| 1982163788 | Kellesha K Stinson | Counselor | 6306 Windcrest Dr Apt 1733, Plano, TX 75024-3028 | 2019-03-19 |
| 1083107361 | Ricci Renee Criner | Counselor | 1201 Legacy Dr Apt 1912, Plano, TX 75023-8223 | 2018-06-11 |
| 1861939894 | Dov Rabinowitz | Counselor | 3900 W 15th St Ste 305, Plano, TX 75075-4725 | 2017-01-29 |
| 1932538022 | Jessica Fred | Counselor | 3131 Custer Rd Ste 265, Plano, TX 75075-4434 | 2013-11-08 |
| 1104063742 | Tommy L Blakeman | Counselor | 2600 Avenue K, Suite, Plano, TX 75074-5306 | 2009-01-20 |
| 1205025863 | Felicia Lajoyce White-meyers | Counselor | 3801 W Spring Creek Pkwy Apt 814, Plano, TX 75023-3839 | 2007-10-19 |
| 1194848663 | Katherine M Morgan | Counselor | 2300 Tamarisk Ln, Plano, TX 75023-6423 | 2007-04-09 |
| 1548326762 | Elizabeth Eugenie Pryputniewicz | Counselor | 9228 Azinger Dr, Plano, TX 75025-5031 | 2006-12-29 |
| Find all providers in PLANO | ||||
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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.