Marc R Shepard (NPI# 1770673824, PAC ID# 5193802700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1770673824 |
| PAC ID by PECOS | 5193802700 |
| Professional Enrollment ID | I20080407000656 |
| Full Name | Marc R Shepard |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Address |
1133 21st St Nw Medstar At Lafayette Centre Washington DC 20036-3390 |
| Phone Number | 2024162000 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547413825 |
| Number of Group Practice Members | 549 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12158 Central Ave, Mitchellville, MD 20721-1932 | 3013903076 | NATIONAL REHABILITATION HOSPITAL INC |
| 1133 21st St Nw, Medstar At Lafayette Centre, Washington, DC 20036-3390 | 2024162000 | MEDSTAR MEDICAL GROUP II LLC |
| 1145 19th St Nw, 311 Mmg At 19th Street Nw, Washington, DC 20036-3735 | 2024292401 | MEDSTAR MEDICAL GROUP II LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Physicians | 582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah T Bergman | Internal Medicine | Medstar Medical Group II LLC | 9105 Franklin Square Dr, Rosedale, MD 21237-3930 |
| Mary Heathcote | Family Medicine | Medstar Medical Group II LLC | 1818 H St Nw, Washington, DC 20433-0001 |
| Lauren Marie Perz | Family Medicine | Medstar Medical Group II LLC | 23511 Hollywood Rd, Suite 2, Leonardtown, MD 20650-5833 |
| Tolulope A Agunbiade | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 1145 19th St Nw, 311 Mmg At 19th Street Nw, Washington, DC 20036-3735 |
| Terence Leonard O'rourke | Family Medicine | Medstar Medical Group II LLC | 1120 20th St Nw, Medstar At Lafayette, Washington, DC 20036-3406 |
| Khalil Ibrahim | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 5601 Loch Raven Blvd Russel Morga, Ste206, Baltimore, MD 21239-2945 |
| Robert C Clark | Internal Medicine | Medstar Medical Group II LLC | 3301 New Mexico Ave, 205 Mmg At New Mexico Ave, Washington, DC 20016-3627 |
| Elizabeth M Hodson | Nurse Practitioner | Medstar Medical Group II LLC | 12111 Darnestown Rd, Gaithersburg, MD 20878-3211 |
| Caroline Simm | Nurse Practitioner | Medstar Medical Group II LLC | 2227 Old Emmorton Rd, 220 Mmgii At Smaldore, Bel Air, MD 21015-6189 |
| Christian C Glaser | Sports Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Street Address |
1133 21ST ST NW MEDSTAR AT LAFAYETTE CENTRE |
| City | WASHINGTON |
| State | DC |
| Zip | 20036-3390 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary M Abraham | Obstetrics/gynecology | Drs Reiter and Hill Pllc | 1133 21st St Nw, Suite 200, Washington, DC 20036-3324 |
| Dana E Kirby | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 1133 21st St Nw, Mmg Anes Lafayette, Washington, DC 20036-3390 |
| Ekaterina A Kolmogorova | Obstetrics/gynecology | Drs Reiter and Hill Pllc | 1133 21st St Nw, Suite 200, Washington, DC 20036-3324 |
| Robin E Davis | Internal Medicine | Medstar Medical Group II LLC | 1133 21st St Nw, Medstar At Lafayette Centre, Washington, DC 20036-3390 |
| Ashley N Smith | Obstetrics/gynecology | Drs Reiter and Hill Pllc | 1133 21st St Nw, Suite 200, Washington, DC 20036-3324 |
| Keith Kowalczyk | Urology | Medstar Medical Group II LLC | 1133 21st St Nw, Medstar At Lafayette Centre, Washington, DC 20036-3390 |
| Nicholas Dallas | Internal Medicine | Medstar Medical Group II LLC | 1133 21st St Nw, Medstar At Lafayette Centre, Washington, DC 20036-3390 |
| Saipriya Neti | Anesthesiology Assistant | Medstar Medical Group Anesthesiology LLC | 1133 21st St Nw, Mmg Anes Lafayette, Washington, DC 20036-3390 |
| Andrew I Engel | Obstetrics/gynecology | Drs Reiter and Hill Pllc | 1133 21st St Nw, Suite 200, Washington, DC 20036-3324 |
| Ryan E Anderson | Internal Medicine | Medstar Medical Group II LLC | 1133 21st St Nw, Medstar At Lafayette Centre, Washington, DC 20036-3390 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aisha R Riley | Nurse Practitioner | 2001 Massachusetts Nwave, Washington, DC 20036-1011 | |
| Nyeesha N Thompson | Nurse Practitioner | Eric C. Marshall Md PC | 6 Dupont Cir Nw, Minuteclinic Diagnostic of Dc, Washington, DC 20036-1108 |
| Tara Devineni | Clinical Social Worker | Tara Devineni, Licsw, LLC | 1555 Connecticut Ave Nw, Washington, DC 20036-1111 |
| Eric C Bergman | Psychiatry | 1555 Connecticut Ave Nw, Suite 300w, Washington, DC 20036-1125 | |
| Carrie E Renfro | Clinical Social Worker | Family Matters of Greater Washington | 1509 16th St Nw, Washington, DC 20036-1461 |
| Jorge A Membreno | Clinical Social Worker | Family Matters of Greater Washington | 1509 16th St Nw, Washington, DC 20036-1461 |
| Trinaty N Fofana | Clinical Social Worker | Family Matters of Greater Washington | 1509 16th St Nw, Washington, DC 20036-1461 |
| Mary R Cuevas | Clinical Social Worker | Family Matters of Greater Washington | 1509 16th St Nw, Washington, DC 20036-1461 |
| Cheryl Tran | Optometry | Miller Eyecare Annapolis Dc, LLC | 1330 Connecticut Nwave, Washington, DC 20036-1704 |
| Chales Gamboa | Optometry | Miller Eyecare Annapolis Dc, LLC | 1330 Connecticut Nwave, Washington, DC 20036-1704 |
| Find all physicians in zip 20036 | |||
| City | WASHINGTON |
| Zip Code | 20036 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WASHINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Marc R Shepard.
| 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.