Individual provider Active NPI

Cynthia A. Shepard, M.D.

  • Internal Medicine Physician
  • Warminster, PA
National Provider Identifier
1295737013
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
061491-L Issued in PA
Practice address
10000 Anns Choice Way
Warminster, PA 18974-3527
Phone
(215) 443-3850
Fax
(215) 443-3963
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 061491-L PA Primary

Addresses

Primary practice location

10000 Anns Choice Way
Warminster, PA 18974-3527

Mailing address

10000 Anns Choice Way
Warminster, PA 18974-3527
Phone (215) 443-3850

Other identifiers 4

IdentifierTypeStateIssuer
27-07975OtherEVERCARE
SH1872656OtherHIGHMARK BS
2732282000OtherINDEPENDENCE BC-KEYSTONE
611455212OtherTRICARE NORTH

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

LicenseStateTypeSpecialty
061491-LPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1295737013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 ANNS CHOICE WAY",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743527",
            "telephone_number": "215-443-3850",
            "fax_number": "215-443-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 ANNS CHOICE WAY",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743527",
            "telephone_number": "215-443-3850",
            "fax_number": "215-443-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "061491-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "27-07975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "SH1872656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC-KEYSTONE",
            "identifier": "2732282000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH",
            "identifier": "611455212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.