Scott Shepard

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

5201 Leesburg Pike
Sky 3, Suite 1501
Falls Church, VA 22041-3203

Phone

(703) 681-6405

NPI assigned

Dec 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174687073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 GREENVIEW LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522920",
            "telephone_number": "703-451-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 LEESBURG PIKE",
            "address_2": "SKY 3, SUITE 1501",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413203",
            "telephone_number": "703-681-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Shein, MD
• Jenna Sheldon, DO, MS
• Juliet Sheldon, AGNP-C
• Anjana Bhami Shenoy, MBBS
• Desirae Deonna Shepard
• David J Sherer, MD
• Elizabeth Anne Sheridan, M.D.
• Sarah Paige Sheridan, PT, DPT
• Gail Senoski Sherman, LMSW
• William Windisch Sherrerd-Smith, MD

• Medical Physician Assistant in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.