R David Shepard MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME54530 Issued in FL

Legal business name

R DAVID SHEPARD MD PA

Practice address

4224 N Tampania Ave
Tampa, FL 33607-6322

Phone

(813) 876-5089

Fax

(813) 876-5090

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. R David Shepard, MD

Title

President

Phone

(813) 876-5089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1346436409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 N TAMPANIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076322",
            "telephone_number": "813-876-5089",
            "fax_number": "813-876-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 N TAMPANIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076322",
            "telephone_number": "813-876-5089",
            "fax_number": "813-876-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DAVID SHEPARD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-876-5089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME54530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.