Individual provider Active NPI

Eric Shepard, M.D.

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1124061643
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0047484 Issued in MD
Practice address
110 S Paca St
Suite 300 6TH FL
Baltimore, MD 21201-1642
Phone
(410) 328-6720
Fax
(410) 328-1674
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X D0047484 MD
Anesthesiology Physician 207L00000X D0047484 MD Primary

Addresses

Primary practice location

110 S Paca St
Suite 300 6TH FL
Baltimore, MD 21201-1642

Mailing address

PO Box 64374
Baltimore, MD 21264-4374
Phone (410) 328-6720

Other identifiers 2

IdentifierTypeStateIssuer
371371700MedicaidMD
CA8702OtherMDRAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080827000237 MD Practitioner - Anesthesiology 7810063807 Reassigns benefits to 3 organizations
I20110808000605 DC Practitioner - Anesthesiology 7810063807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
JS Weill Medical College, Cornell University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Anesthesiology Associates PAGroup PAC ID 8022905306, 136 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6720

Hospital & facility affiliations

  • Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0047484MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Anesthesiology Associates, P.a. Anesthesiology CurrentSince Jun 2, 2000 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Dec 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Associated Anesthesiology Practice P.a. Anesthesiology Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

611 S Charles St
Baltimore, MD 21230
Phone (410) 328-6331

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

45 Thomas Johnson Dr
Ste 207
Frederick, MD 21702
Phone (301) 694-3400

11711 Livingston Rd
Ft Washington, MD 20744
Phone (301) 203-2250

1110 Professional Ct
Hagerstown, MD 21740
Phone (240) 420-5559

9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667

8028 Ritchie Hwy
Ste 142
Pasadena, MD 21122
Phone (410) 590-8920

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: eshepard1345@direct.umm.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1124061643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64374",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644374",
            "telephone_number": "410-328-6720",
            "fax_number": "410-328-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "SUITE 300 6TH FL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-6720",
            "fax_number": "410-328-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MD",
            "license": "D0047484",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0047484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371371700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CA8702",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.