Theodore Shepard (NPI# 1699756551, PAC ID# 0648371781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1699756551 |
| PAC ID by PECOS | 0648371781 |
| Professional Enrollment ID | I20070719000618 |
| Full Name | Theodore Shepard |
| Organization Legal Name | MIDDLE TENNESSEE UROLOGY SPECIALISTS PLLC |
| Address |
1747 Medical Ctr Pkwy S Suite 210 Murfreesboro TN 37129-2246 |
| Phone Number | 6158931600 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1985 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3476654518 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440053 | SAINT THOMAS RUTHERFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 | 6158931600 | MIDDLE TENNESSEE UROLOGY SPECIALISTS PLLC |
| Organization Legal Name | MIDDLE TENNESSEE UROLOGY SPECIALISTS PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad M Jackson | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 |
| Gregory Stewart | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 |
| Patrick R Showalter | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 |
| Robert J Dray | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 |
| Robert R Cleveland | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Murfreesboro, TN 37129-2246 |
| Street Address |
1747 MEDICAL CTR PKWY S SUITE 210 |
| City | MURFREESBORO |
| State | TN |
| Zip | 37129-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad M Jackson | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 |
| Gregory Stewart | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 |
| Patrick R Showalter | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 |
| Robert J Dray | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Suite 210, Murfreesboro, TN 37129-2246 |
| Robert R Cleveland | Urology | Middle Tennessee Urology Specialists Pllc | 1747 Medical Ctr Pkwy S, Murfreesboro, TN 37129-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashlen Lincoln | Chiropractic | Imac Regeneration Center of Nashville, PC | 205 N Thompson Lane, Suite H, Murfreesboro, TN 37129 |
| Sheri L Chapman | Nurse Practitioner | Spring Hill Dermatology Plc | 1970 Medical Ctr Pkwy, Murfreesboro, TN 37129 |
| Julia Ann Goddeeris | Qualified Audiologist | Johnson Audiology, Inc. | 804 N Thompson, 1f, Murfreesboro, TN 37129 |
| Jeremy Gonsowski | Chiropractic | Chiropractic Health and Rehabilitation, Pllc | 835 N Thompson Lane, Mursfreeboro, TN 37129 |
| Marco A Jarrett | Obstetrics/gynecology | Arizons Obstetrics and Gynecology, Pllc | 820 N Thompson Lane, Suite 1a, Murfreesboro, TN 37129 |
| Jessica Washington | Obstetrics/gynecology | Arizons Obstetrics and Gynecology, Pllc | 820 N Thompson Lane, Suite 1a, Murfreesboro, TN 37129 |
| James Craven | Physical Therapy | Agilitas Usa Inc | 1272 Garrison Dr, Suite 303, Murfreesboro, TN 37129-0053 |
| Eric Scott Collins | Physical Therapy | Agilitas Usa Inc | 1272 Garrison Dr, Suite 303, Murfreesboro, TN 37129-0053 |
| Jordan Jones | Physical Therapy | Agilitas Usa Inc | 1272 Garrison Dr, Suite 303, Murfreesboro, TN 37129-0053 |
| James A Payne Iii | Physical Therapy | Agilitas Usa Inc | 1272 Garrison Dr, Suite 303, Murfreesboro, TN 37129-0053 |
| Find all physicians in zip 37129 | |||
| City | MURFREESBORO |
| Zip Code | 37129 |
| Specialty | UROLOGY |
| City + Specialty | MURFREESBORO + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.