Mark Devin Shepherd

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

MARK DEVIN SHEPHERD

Practice address

670 Crossover Rd
Tupelo, MS 38801-4944

Phone

(662) 844-8414

Fax

(662) 844-8275

NPI assigned

Aug 1, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Shepherd, M.D.NPI 1760499867

Title

Director

Phone

(662) 844-8414

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Endocrinology Consultants, PLLC Other name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark D Shepherd, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tupelo, MS
  • NPI 1760499867
  Medicare reassignment Care Compare group NPD Authorized official
• Leonil A. Gan Lim, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tupelo, MS
  • NPI 1962512590
  Medicare reassignment Care Compare group NPD
• Amanda Blair Robinson, NP

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1891233458
  Medicare reassignment NPD
• Jessica W Eaton, CFNP

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1679855159
  NPD (past)
• Lisa D Foley, CFNP

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1801009592
  NPD (past)
• Leslie R Villarrubia, DNP, CFNP

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1861605560
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1376559880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4087",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388034087",
            "telephone_number": "662-844-8414",
            "fax_number": "662-844-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CROSSOVER RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014944",
            "telephone_number": "662-844-8414",
            "fax_number": "662-844-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DEVIN SHEPHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-844-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09778731",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CH0754",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Consultants, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Manley
• Dana S Mann, CRNA
• Marathon Health LLC
• Rosemary Marecle, FNP,C
• Laura L Marion, M.D.
• Mary Virginia Mark, RD, LD, CDE
• Tyler G. Marks, MD
• Hannah M Marlin
• Sandra H Marlin, CRNA
• Marquis Dental Center PA (Renew Dental)

• Endocrinology, Diabetes & Metabolism Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Endocrinology, Diabetes & Metabolism Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.