Clifton W. Shepherd, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

014211 Issued in LA

Practice address

8660 Fern Ave
Suite 145
Shreveport, LA 71105-5649

Phone

(337) 280-9200

NPI assigned

May 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1093926263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53668",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053668",
            "telephone_number": "337-280-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 FERN AVE",
            "address_2": "SUITE 145",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055649",
            "telephone_number": "337-280-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CLIFTON",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-26",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "014211",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "014211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186155",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalee Shelton
• Patti June Shelton, PLPC
• Shenells
• David Y. Sheng, MD
• Barbara Shepherd, RN
• Marietta Suzanne Shepherd, PT
• Paula Y. Shepherd, M.ED.,LPC, LMFT
• Shauntoria Shepherd
• Sonya Shepherd
• Temetha Shepherd

• Anesthesiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.