Active NPI
Stephen R Sheppard, MD
- Plastic Surgery Physician
- Mobile, AL
National Provider Identifier
1194832360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 10348
- Practice address
- 101 Memorial Hospital Drive
Suite 309
Mobile, AL 36608-1787 - Phone
- (251) 344-1151
- Fax
- (251) 344-2113
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 10348 | AL | Primary |
Addresses
Primary practice location
101 Memorial Hospital Drive
Suite 309
Mobile, AL 36608-1787
Mailing address
101 Memorial Hospital Drive
Suite 309
Mobile, AL 36608-1787
Phone (251) 344-1151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10348 | AL | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1194832360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MEMORIAL HOSPITAL DRIVE",
"address_2": "SUITE 309",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081787",
"telephone_number": "251-344-1151",
"fax_number": "251-344-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MEMORIAL HOSPITAL DRIVE",
"address_2": "SUITE 309",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081787",
"telephone_number": "251-344-1151",
"fax_number": "251-344-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "STEPHEN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AL",
"license": "10348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.