Simeon Shepard

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

119725 Issued in FL

Practice address

13238 Royal George Ave
Odessa, FL 33556

Phone

(386) 566-1949

NPI assigned

Aug 28, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acs Medical Enterprises Inc

  • Ambulatory Surgical Clinic/Center
  • Odessa, FL
  • NPI 1831623867
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013434398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13238 ROYAL GEORGE AVE",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565724",
            "telephone_number": "386-566-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13238 ROYAL GEORGE AVE",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "33556",
            "telephone_number": "386-566-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "SIMEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "119725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scooter Direct, LLC.
• John Scott, APRN
• Shweta Shah
• Sheek Solutions, LLC
• Christian Sheffield, APRN; FNP-C
• Richard Sherbondy, LMHC
• Shor Living Inc (Shor Chiropractic)
• Farhan Naveed Siddiqi, M.D.
• Siloam Medical (Beatific Vision)
• David H Silverstein, MD

• Surgical Assistant in Odessa, FL
• Providers in Odessa, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.