JOHN CAMP SHEPHERD (NPI# 1811985070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811985070 |
| Entity Type | Individual |
| Full Name | JOHN CAMP SHEPHERD |
| Credential | MD |
| Practice Address |
2000 W South Boulder Rd Lafayette CO 80026-1389 |
| Mailing Address |
1345 Plaza Ct N Ste 1a Lafayette CO 80026-2832 |
| Practice Telephone | 3036659310 |
| Mailing Telephone | 3036653036 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
23339 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01233394 | 05 | |
| DEA | AS2120967 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992956510 | John Randall Shepherd | Family Medicine | 251 N. Illinois Hwy. 37, Big Muddy Correctional Center, Ina, IL 62846 | 2008-10-01 |
| 1225031271 | John David Shepherd | Internal Medicine | 293 Olmsted Blvd, Ste 7, Pinehurst, NC 28374-9023 | 2005-05-23 |
| 1396373353 | John Shepherd | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-27 |
| 1013465806 | John Bradley Shepherd | Dentist | 7260 S Rainbow Blvd, Las Vegas, NV 89118-4669 | 2016-09-21 |
| 1699943159 | John T Shepherd | Dentist | 1108 N Mechanic St, El Campo, TX 77437-3030 | 2008-02-18 |
| 1265614325 | John D Shepherd | Ophthalmology | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2007-11-30 |
| 1558567115 | John Murdaugh Shepherd Jr. | Dentist | 5249 Olde Towne Rd, Olde Towne Medical Center, Williamsburg, VA 23188-8111 | 2007-06-21 |
| 1972645190 | John David Shepherd | Dentist | 2006 Old Montgomery Hwy, Birmingham, AL 35244-1658 | 2007-02-13 |
| 1699798280 | John M Shepherd | Anesthesiology | 4242 Medical Dr Ste 3100, San Antonio, TX 78229-5642 | 2006-07-25 |
| 1124079454 | John R Shepherd | Ophthalmology | 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | 2006-05-12 |
| Street Address |
2000 W SOUTH BOULDER RD |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831187137 | Deborah Nadkarni-simmons | Physician Assistant | 2000 W South Boulder Rd, Lafayette, CO 80026-1389 | 2005-10-11 |
| 1427493600 | Rebekka Katherine Zak | Family Medicine | 2000 W South Boulder Rd, Lafayette, CO 80026-1318 | 2013-05-01 |
| 1760725022 | Charlene D Archuleta | Nurse Practitioner | 2000 W South Boulder Rd, Lafayette, CO 80026-1318 | 2013-04-04 |
| 1740574144 | Benjamin Huntley | Emergency Medicine | 2000 W South Boulder Rd, Lafayette, CO 80026-1318 | 2011-06-02 |
| 1861655250 | Julie Pino Hirman | Nurse Practitioner | 2000 W South Boulder Rd, Lafayette, CO 80026-1389 | 2008-07-07 |
| 1437337201 | Eric Cornwell Boysen | Family Medicine | 2000 W South Boulder Rd, Lafayette, CO 80026-1389 | 2008-02-04 |
| 1144367616 | Jennifer Elizabeth Peck | Social Worker | 2000 W South Boulder Rd, Lafayette, CO 80026-1389 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134328966 | L Glen Mire Md Inc | Family Medicine | 324 Dulles Dr, Lafayette, LA 70506-3008 | 2007-07-12 |
| 1326078395 | Mary Marelle Yongue | Family Medicine | University of Louisiana Lafayette Student Health Serv, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2006-07-04 |
| 1588014864 | Acadiana Long Term Care LLC | Family Medicine | 202 Westgate Rd, Lafayette, LA 70506-2711 | 2016-06-16 |
| 1366468084 | Louis Glen Mire | Family Medicine | 2390 W Congress St, Lafayette, LA 70506-4205 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285100685 | Sun Tree Palliative Care and Physician Services LLC | Family Medicine | 3090 S Jamaica Ct Ste 313, Aurora, CO 80014-2628 | 2018-10-23 |
| 1871906974 | Catherine Lee Cantway | Family Medicine | 1600 Mid Valley Dr, Steamboat Springs, CO 80487-9006 | 2014-06-05 |
| 1033354386 | Madison Jerome Lucas I | Family Medicine | 5991 Crestbrook Dr, Morrison, CO 80465-2219 | 2008-12-15 |
| 1245416742 | Benjamin N Pinto Md | Family Medicine | 5421 S Federal Cir, Suite J206, Littleton, CO 80123-7701 | 2008-01-14 |
| 1053442467 | House Call Docs Cs LLC | Family Medicine | 506 Orion Drive, Colorado Springs, CO 80906-1015 | 2007-03-08 |
| 1922015973 | Michele Yeeting Lee | Family Medicine | 350 Ponca Pl, Suite 250, Boulder, CO 80303-3828 | 2006-08-02 |
| 1881600112 | Doc Com LLC | Family Medicine | 2833 S Colorado Blvd, Denver, CO 80222-6609 | 2006-07-31 |
| 1528083466 | Donald G Spradlin | Family Medicine | 1415 W Cheyenne Mountain Blvd, Colorado Springs, CO 80906-6211 | 2006-07-13 |
| 1073508966 | Julie Lynn Halling | Family Medicine | 3076 Electra Dr S, Colorado Springs, CO 80906-1097 | 2005-09-16 |
| 1194261362 | Front Range Geriatric Medicine LLC | Family Medicine | 802 W Drake Rd, Suite 101, Fort Collins, CO 80526-5558 | 2017-01-12 |
| 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.