Shepherds Internal Medicine Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

02003266A Issued in IN

Legal business name

SHEPHERDS INTERNAL MEDICINE PRACTICE

Practice address

6201 Winthrop Ave
Indianapolis, IN 46220-1970

Phone

(317) 253-7559

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Carlton Shepherd, D.O.

Title

Physician

Phone

(317) 253-7559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1538464227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 WILLIAMS CREEK DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403057",
            "telephone_number": "317-253-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 WINTHROP AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201970",
            "telephone_number": "317-253-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERDS INTERNAL MEDICINE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "317-253-7559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "02003266A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Shepherd
• Quin Shepherd, D.O.
• Ryan Shepherd, LCSW
• Sarah Shepherd
• Serenity Jean Shepherd
• Christine Shepler, RN
• Kathleen Ann Shepler, MS CCC SLP
• George J. Sheplock, MD
• Janine S Sheppard, MD
• Megan Sheppard

• Primary Care Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.