Mark Shepherd (NPI# 1760499867, PAC ID# 3375543002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1760499867 |
| PAC ID by PECOS | 3375543002 |
| Professional Enrollment ID | I20100830000348 |
| Full Name | Mark Shepherd |
| Organization Legal Name | MARK DEVIN SHEPHERD |
| Address |
670 Crossover Rd Tupelo MS 38801-4944 |
| Phone Number | 6628444911 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 7012917743 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 670 Crossover Rd, Tupelo, MS 38801-4944 | 6628444911 | MARK DEVIN SHEPHERD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MARK DEVIN SHEPHERD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonil Ganlim | Internal Medicine | Mark Devin Shepherd | 670 Crossover Rd, Tupelo, MS 38801-4944 |
| Street Address |
670 CROSSOVER RD |
| City | TUPELO |
| State | MS |
| Zip | 38801-4944 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonil Ganlim | Internal Medicine | Mark Devin Shepherd | 670 Crossover Rd, Tupelo, MS 38801-4944 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | TUPELO + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Mark Shepherd.
| 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.