Jeannine E Sheppard (NPI# 1720105109, PAC ID# 8628254240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1720105109 |
| PAC ID by PECOS | 8628254240 |
| Professional Enrollment ID | I20110517000231 |
| Full Name | Jeannine E Sheppard |
| Organization Legal Name | EASTWAY CORPORATION |
| Address |
600 Wayne Ave Dayton OH 45410-1122 |
| Phone Number | 9373962525 |
| Gender | F |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1153211065 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 600 Wayne Ave, Dayton, OH 45410-1122 | 9373962525 | EASTWAY CORPORATION |
| Organization Legal Name | EASTWAY CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Franks | Physician Assistant | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Robert Orgain Hardy | Psychiatry | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Stephanie Weigel | Nurse Practitioner | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Street Address |
600 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip | 45410-1122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marquetta D Colbert | Nurse Practitioner | Colbert Family Health and Wellness LLC | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Sarah M Franks | Physician Assistant | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Robert Orgain Hardy | Psychiatry | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Stephanie Weigel | Nurse Practitioner | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Mustovich | Clinical Nurse Specialist | Renal Physicians Inc | 1427 Business Ctr Ct, Dayton, OH 45410-3300 |
| City | DAYTON |
| Zip Code | 45410 |
| Specialty | PSYCHIATRY |
| City + Specialty | DAYTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Jeannine E Sheppard.
| 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.