MITCHELL T SHEPHERD (NPI# 1730529421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730529421 |
| Entity Type | Individual |
| Full Name | MITCHELL T SHEPHERD |
| Credential | PA-C |
| Practice Address |
1350 E 750 N Suite 1 Orem UT 84097-4345 |
| Practice Telephone | 8018504250 |
| Mailing Telephone | 8018504250 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5339107-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1350 E 750 N SUITE 1 |
| City | OREM |
| State | UT |
| Zip Code | 84097-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071402 | Patricia Jean Bowling | Psychiatry & Neurology | 1350 E 750 N, Orem, UT 84097-4345 | 2005-05-24 |
| 1780194712 | Lorraine P Brimhall | Physician Assistant | 1350 E 750 N, Orem, UT 84097-4345 | 2017-10-04 |
| 1831520535 | Jeremy Cottle | Social Worker | 1350 E 750 N, Orem, UT 84097-4345 | 2013-12-05 |
| 1912341256 | Uhs of Provo Canyon Inc | Pharmacy | 1350 E 750 N, Orem, UT 84097-4345 | 2013-04-17 |
| 1356695175 | Mardi Bruner Bartholdt | Clinical Nurse Specialist | 1350 E 750 N, Orem, UT 84097-4345 | 2012-10-31 |
| 1457617409 | Uhs of Provo Canyon, Inc. | Psychiatric Hospital | 1350 E 750 N, Orem, UT 84097-4345 | 2012-04-04 |
| 1073829057 | Universal Healthservices Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1350 E 750 N, North Orem Medicaid, Orem, UT 84097-4345 | 2010-08-27 |
| 1164737094 | Samuel W Hill | Marriage & Family Therapist | 1350 E 750 N, Orem, UT 84097-4345 | 2010-08-16 |
| 1922249242 | Provo Canyon School Inc | Psychiatric Residential Treatment Facility | 1350 E 750 N, Orem, UT 84097-4345 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1841440542 | Desiree Funk | Physician Assistant | 155 N 400 W # B6, Orem, UT 84057-1909 | 2008-09-30 |
| 1780801753 | Gary E. Cripe | Physician Assistant | 155 North 400 West, Orem, UT 84057 | 2007-04-19 |
| 1821125907 | Todd David Seamons | Physician Assistant | 173 N 400 W Ste C-11, Orem, UT 84057-1909 | 2007-02-27 |
| 1205874179 | Jason Eatough | Physician Assistant | 331 N 400 W, Orem, UT 84057-1913 | 2006-06-03 |
| 1740287861 | Christine Heninger Broken Leg | Physician Assistant | 716 W 800 N # 300, Orem, UT 84057-6300 | 2005-07-05 |
| 1720484934 | Mark Cattermole | Physician Assistant | 1975 N State St, Orem, UT 84057-2028 | 2014-11-16 |
| 1861760167 | Shawn Gibbs | Physician Assistant | 155 N 400 W, B6, Orem, UT 84057-1909 | 2011-12-01 |
| 1821398371 | Allison Savanna Felshaw | Physician Assistant | 700 W 800 N, Suite 400, Orem, UT 84057-6301 | 2010-11-01 |
| 1710037213 | Jean Stanford | Physician Assistant | 412 W 800 N, Orem, UT 84057-3728 | 2007-01-10 |
| Find all providers in OREM | ||||
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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.