DR. WILLIAM ROBERT SHEPPARD SR. (NPI# 1780616771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780616771 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ROBERT SHEPPARD SR. |
| Credential | MAMFC |
| Practice Address |
1555 Merrimac Circle Suite 105 Ft. Worth TX 76107 |
| Practice Telephone | 8178100030 |
| Practice Fax Number | 8178773562 |
| Mailing Telephone | 8178100030 |
| Mailing Fax Number | 8178773562 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
11769 | TX | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 3469 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538530654 | William Brad Sheppard | Counselor | 10900 S Pennsylvania Ave Apt 638, Oklahoma City, OK 73170-4247 | 2015-10-15 |
| 1316019516 | William Laurence Sheppard Jr. | Chiropractor | 720 South Mason Rd., Katy, TX 77450 | 2006-11-14 |
| 1003462649 | William Sheppard II | Psychologist | 301 W Burlington Ave, Fairfield, IA 52556-3242 | 2019-08-09 |
| 1265938351 | William Louis Sheppard Jr. | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1366824732 | William Sheppard | Physical Therapist | 2400 Ardmore Blvd, Suite 700, Pittsburgh, PA 15221-5299 | 2015-06-22 |
| 1043244452 | William Stephen Sheppard | Physician Assistant | 897 W Main St, Dover Foxcroft, ME 04426-1029 | 2006-07-10 |
| 1427092501 | William Macon Sheppard IIi | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-16 |
| 1932142221 | William M Sheppard | Family Medicine | 1 Atkinson Dr, Ludington, MI 49431-1906 | 2006-06-14 |
| Street Address |
1555 MERRIMAC CIRCLE SUITE 105 |
| City | FT. WORTH |
| State | TX |
| Zip Code | 76107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013156256 | Nishani Kweli Grigsby | Counselor | 3121 Collinsworth, Suite 14, Ft. Worth, TX 76107 | 2009-02-11 |
| 1083798318 | David W. Farmer | Counselor | 1701 River Run Rd., Suite 402, Ft. Worth, TX 76107 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316903 | Christi Shortes | Counselor | 5024 Fm 304, Corsicana, TX 75109 | 2020-11-06 |
| 1265033047 | Rosa Isela Vidal | Counselor | 710 W Dove Ave, Pharr, TX 78577-9080 | 2020-11-06 |
| 1245831841 | Armando Martinez Jr. | Counselor | 2321 Nightingale Ave, Mcallen, TX 78504-4246 | 2020-11-02 |
| 1386245850 | Sondra Whitaker | Counselor | 19827 Billineys Park Dr, Katy, TX 77449-8538 | 2020-11-02 |
| 1902407430 | John Woodruff | Counselor | 206 S Kentucky St Ste 101, Mckinney, TX 75069-5439 | 2020-11-02 |
| 1063013589 | Infinite Beings Treatment Center LLC | Counselor | 4201 Cypress Creek Pkwy Ste 250, Houston, TX 77068-3412 | 2020-11-02 |
| 1821698531 | Stephenie Johnson | Counselor | 603 Ellington, Ropesville, TX 79358 | 2020-10-30 |
| 1770183477 | Yoonkyung Chung | Counselor | 312 W Westway Ave, Mcallen, TX 78501-2179 | 2020-10-30 |
| 1104426824 | Debrah Lynn Alsobrook | Counselor | 6601 Cypresswood Dr Ste 224, Spring, TX 77379-7893 | 2020-10-30 |
| 1134729106 | Provost Psychotherapy | Counselor | 1300 Bay Area Blvd Ste B150-28, Houston, TX 77058-2505 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.