Individual provider Active NPI

James Daniel Shepherd, MD

  • Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1235335530
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME160501 Issued in FL
Practice address
3433 NW 56TH St Ste 900
Oklahoma City, OK 73112
Phone
(405) 713-9935
Fax
(405) 713-9936
NPI assigned
Jun 23, 2007
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME160501 FL Primary
Surgery Physician 208600000X 25645 OK

Addresses

Primary practice location

3433 NW 56TH St Ste 900
Oklahoma City, OK 73112

Mailing address

PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600

Other practice location 1

200 Healthcare Way Unit 101
North Venice, FL 34275-3670
Phone (941) 261-0500

Other practice location 2

7318 N Western Ave
Nichols Hills, OK 73116-7120
Phone (405) 242-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, FL2 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
I20120709000332 OK Practitioner - General Surgery 4981869484 Reassigns benefits to 1 organization
I20230317000069 FL Practitioner - General Surgery 4981869484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

200 Healthcare Way
Suite 101
North Venice, FL 34275-3670
Phone (941) 261-0160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)23
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal32
Melanoma (skin cancer) excision1-10
Removal of tissue130
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME160501FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc CurrentSince May 1, 2023 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Sep 4, 2018 Accepting new patients
SMH Physician Services Inc Past Accepting new patients

Locations

200 Healthcare Way
Unit 101
North Venice, FL 34275
Phone (941) 261-0160

200 Healthcare Way
Unit 103
North Venice, FL 34275
Phone (941) 261-0160

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3433 NW 56th St
Ste 900
Oklahoma City, OK 73112
Phone (405) 552-0401

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: james.shepherd@fpg.directbygreenway.com

Organizations & group practices 3

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

Hospital & facility affiliations 5

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": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1235335530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST STE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-713-9935",
            "fax_number": "405-713-9936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Healthcare Way Unit 101",
            "address_purpose": "LOCATION",
            "city": "North Venice",
            "state": "FL",
            "postal_code": "342753670",
            "country_code": "US",
            "telephone_number": "941-261-0500",
            "fax_number": "941-261-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7318 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Nichols Hills",
            "state": "OK",
            "postal_code": "731167120",
            "country_code": "US",
            "telephone_number": "405-242-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME160501",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "25645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.