Shepard Creek OB-GYN, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

891804611205 Issued in UT

Legal business name

SHEPARD CREEK OB-GYN, P.C.

Practice address

670 Shepard LN Ste 103
Farmington, UT 84025-3936

Phone

(801) 447-3377

Fax

(801) 447-3442

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Neil O Spencer, M.D.

Title

President

Phone

(801) 447-3377

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Epstein, PA-C

  • Physician Assistant
  • Ogden, UT
  • NPI 1588660864
  NPD (past)
• Diana Fletcher, PA-C

  • Physician Assistant
  • Farmington, UT
  • NPI 1043324551
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1255570453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 SHEPARD LN STE 103",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253936",
            "telephone_number": "801-447-3377",
            "fax_number": "801-447-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SHEPARD LN STE 103",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253936",
            "telephone_number": "801-447-3377",
            "fax_number": "801-447-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPARD CREEK OB-GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-447-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "891804611205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528111737021",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Schultz, PA
• Aaron Michael Secrest, MD, PHD
• Matthew R Seely, DO
• Seth Nye Orthodontics, PLLC
• Seven Counseling and Wellness PLLC
• Sidney D Hendricks D.C. Inc
• Cameron John Siler, PT, DPT, CSCS
• Brad K. Simmons, LCSW
• Gwendolynn Skeen
• Joel Smith, LMT

• Specialist in Farmington, UT
• Providers in Farmington, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.