DR. TIM SHEPHERD (NPI# 1760488027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760488027 |
| Entity Type | Individual |
| Full Name | DR. TIM SHEPHERD |
| Credential | M.D. |
| Practice Address |
500 N Valley Pkwy Ste 101 Lewisville TX 75067 |
| Mailing Address |
500 N Valley Pkwy Ste 101 Lewisville TX 75067-3479 |
| Practice Telephone | 9724208777 |
| Practice Fax Number | 9722191978 |
| Mailing Telephone | 9724208777 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F4518 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 00DQ67 | 01 |
| TX | COMMERCIAL | B26392 | 01 |
| TX | 114490905 | 05 | |
| TX | RAILROAD MEDICARE | P00822864 | 01 |
| Street Address |
500 N VALLEY PKWY STE 101 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305492 | Horizon Mri of Lewisville LLC | Clinic/Center | 500 N Valley Pkwy, Ste 108, Lewisville, TX 75067-3479 | 2005-06-13 |
| 1205342623 | Jeanne B. Reveldez | Nurse Practitioner | 500 N Valley Pkwy, Lewisville, TX 75067-3552 | 2017-12-21 |
| 1134634678 | Maninder Kaur | Nurse Practitioner | 500 N Valley Pkwy, Lewisville, TX 75067-3552 | 2017-12-06 |
| 1629521851 | Laxmideepika Koya, M.d.,p.a | Internal Medicine | 500 N Valley Pkwy, Suite 111, Lewisville, TX 75067-3479 | 2016-07-23 |
| 1760770358 | Kandice Nichole Miller | Nurse Practitioner | 500 N Valley Pkwy, Suite #101, Lewisville, TX 75067-3552 | 2011-07-15 |
| 1255655007 | Tim Shepherd Md Pa | Family Medicine | 500 N Valley Pkwy, Ste 101, Lewisville, TX 75067-3552 | 2010-03-23 |
| 1386823896 | Kari Lee Miley | Nurse Practitioner | 500 N Valley Pkwy, Ste 101, Lewisville, TX 75067-3552 | 2007-10-31 |
| 1194924555 | North Texas Point of Care Pa | Surgery | 500 N Valley Pkwy, Suite 500, Lewisville, TX 75067-3552 | 2007-07-16 |
| 1326061904 | Medical Edge Healthcare Group Pa | Clinic/Center | 500 N Valley Pkwy, Suite 101, Lewisville, TX 75067-3437 | 2006-07-25 |
| 1639195886 | Rmbo Enterprises Ltd | Durable Medical Equipment & Medical Supplies | 500 N Valley Pkwy, Suite 101, Lewisville, TX 75067-3437 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767290 | Dental Depot of Lewisville, Pllc | Dentist | 1260 W Fm 3040, Lewisville, TX 75067 | 2020-07-17 |
| 1548885692 | Guiding Grace LLC | Case Management | 405 State Highway 121, Ste A250, Lewisville, TX 75067 | 2020-06-15 |
| 1548800733 | Dfw Lewisville Emergency Center LLC | Emergency Medicine | 1596 W. Main St., Lewisville, TX 75067 | 2020-01-15 |
| 1386286854 | Rachel Lee Herd | Registered Nurse | 940 W Round Grove Rd Apt 2237, Lewisville, TX 75067 | 2019-10-16 |
| 1437631108 | Rosa Lydia Rodriguez | Massage Therapist | 330 Brook Cove Ln, Lewisville, TX 75067 | 2018-08-29 |
| 1023508819 | W. Main Street Dental Lewisville, Tx, P.C. | Dentist | 724 W Main St Ste 316, Lewisville, TX 75067 | 2018-05-16 |
| 1255821286 | Alicia D Wallace | Counselor | 105 Kathryn Dr. Bldg. 3, Ste. D, Lewisville, TX 75067 | 2018-05-15 |
| 1861921116 | Megan Blair Morrison | Dentist | 420 E Round Grove Rd #640, Lewisville, TX 75067 | 2017-06-09 |
| 1508305905 | Schofield Orthodontics Pllc | Dentist | 755 Hwy 121 Byp, A200, Lewisville, TX 75067 | 2017-02-17 |
| 1275080897 | Trinity Counseling | Counselor | 2001 Woven Trail, Lewisville, TX 75067 | 2016-09-01 |
| Find all providers in zip 75067 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609833 | Lafayette County Family Practice | Family Medicine | 226 Spruce Street, Lewisville, AR 71845 | 2020-11-06 |
| 1154945384 | Vintage Family Medicine and Pediatrics | Family Medicine | 860 Hebron Pkwy Ste 201, Lewisville, TX 75057-5143 | 2020-06-03 |
| 1306409115 | Janet M Muraga | Family Medicine | 2447 Embleton Dr, Lewisville, TX 75067-6706 | 2019-04-17 |
| 1013473248 | Nongnuch Kuligowski | Family Medicine | 5040 Tx-121 Suite 200, Lewisville, TX 75056 | 2019-02-12 |
| 1407265572 | Aruna Medical Clinic, LLC | Family Medicine | 417 Oakbend Dr, Suite 100, Lewisville, TX 75067-2338 | 2014-08-04 |
| 1346404001 | Patrick William Martin | Family Medicine | 571 W Main St Ste 100, Lewisville, TX 75057-3667 | 2008-07-11 |
| 1477716710 | Dhanashree Dilip Joshi | Family Medicine | 6630 Shallowford Rd, Lewisville, NC 27023-9504 | 2008-07-08 |
| 1538379870 | John Christopher Lavelle | Family Medicine | 2501 South State Hwy 121, Suite 1100, Lewisville, TX 75067 | 2007-05-23 |
| 1659401529 | Highland Family Medical Centers Pa | Family Medicine | 2012 Justin Rd, Suite 100, Lewisville, TX 75077-7161 | 2007-03-07 |
| 1285708925 | Holly Mccoy | Family Medicine | 1559 W Main Street, Lewisville, TX 75067-3394 | 2006-11-17 |
| Find all providers in LEWISVILLE | ||||
| City | LEWISVILLE |
| Zip Code | 75067 |
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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.