Shepherd'S Place Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHEPHERD'S PLACE CLINIC LLC

Practice address

2316 NW 23Rd St
St. B
Oklahoma City, OK 73107-2406

Phone

(405) 525-3330

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mebin Thomas, PA-CNPI 1598082737

Title

Owner

Phone

(405) 414-9139

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7043/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Mebin Babu Thomas, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1598082737
  NPD (past) Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1699012757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "address_2": "ST. B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "address_2": "ST. B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-525-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD'S PLACE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MEBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-414-9139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Daniel Shepherd, MD
• Jayna N Shepherd, D.O.
• Kylena Shepherd
• Megan Shepherd, MD
• Michelle Marie Shepherd, LPN
• Shepherd'S Place Clinic LLC
• Sheppard Precision Chiropractic
• Jennifer Marie Sheppard-Rowe, DC
• Adam Lee Sheppard, CRNA
• Jaclyn Adison Sheppard

• Primary Care Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.