DR. AMY BALDUCCI SHEPHERD


Address: 2500 N State St, Jackson, MS 39216-4500
Phone: 6019842000

DR. AMY BALDUCCI SHEPHERD (NPI# 1881638666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881638666
Entity Type Individual
Full Name DR. AMY BALDUCCI SHEPHERD
Credential M.D.
Practice Address 2500 N State St
Jackson
MS 39216-4500
Practice Telephone 6019842000
Mailing Telephone 6019842000
Enumeration Date 2006-06-15
Last Update Date 2012-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
18335 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1461032 05
MS 00121927 05

Other Providers AMY SHEPHERD

NPI Name Taxonomy Address Enumeration
1790009991 Amy Shepherd Midwife, Lay 1520 Se Madrona Ln, Milwaukie, OR 97267-1053 2010-03-17
1447355037 Amy Lynn Shepherd Pharmacist 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 2006-09-14

Office Location

Street Address 2500 N STATE ST
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556231 University Ophthalmology Associates Ophthalmology 2500 N State St, Ste B329, Jackson, MS 39216-4500 2005-05-24
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1679189849 Raegan Wilson Registered Nurse 2500 N State St, Jackson, MS 39216-4500 2020-09-22
1851905095 Violet Maloba Awori Student in an Organized Health Care Education/Training Program 2500 N State St, Jackson, MS 39216-4500 2020-09-04
1295348639 Kassidy Voinche Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-25
1215549423 Brittney Leeann Williams Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-19
1912519364 Rashmi Verma Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2020-08-18
1982215414 Anita Dhanrajani Pediatrics 2500 N State St, Jackson, MS 39216-4500 2020-08-10
1528676954 Nicholas Mcafee Psychologist 2500 N State St, Jackson, MS 39216-4500 2020-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174872485 Matthew W Maready Pediatrics 2500 N State St, Jackson, MS 39216-4500 2012-08-31
1669784385 Fernando Gomez Pediatrics 2500 North State Street, University of Mississippi Medical Center, Jackson, MS 39216-4505 2010-07-10
1134272909 Upa Pllc Emergency Med Pediatrics 2500 N State St, Jackson, MS 39216-4500 2007-01-18
1184723280 Catherine Faulk Pediatrics 2500 N State St, Jackson, MS 39216-4500 2006-09-22
1639106636 Benjamin Clark Dillard Pediatrics 2500 N State St, Jackson, MS 39216-4500 2006-06-26
1134155971 Bonnie N. Woodall Pediatrics 2500 N State St, Jackson, MS 39216-4500 2006-06-23
1568408896 Magolia Abranese Castilla Pediatrics 2500 N State St, Jackson, MS 39216-4500 2006-06-22
1124062492 Taysir M. Abusaa Pediatrics 2500 N State St, Jackson, MS 39216-4500 2006-06-16
1427090703 Nancy Grant Wahl Pediatrics 2500 N State St, Jackson, MS 39216-4500 2006-06-12

Competitor

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City JACKSON
Zip Code 39216

Improve Information

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Dataset Information

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.

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