Douglas Lindsay Shepard, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

32560 Issued in AZ

Practice address

1000 Willow Creek Rd
Suite C
Prescott, AZ 86301-1645

Phone

(928) 717-9797

Fax

(928) 717-2949

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dougshepard@doctorshepard.amazing-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Az Integrated Neuro Spine & Pain LLC

  • Neurology Physician
  • Sun City, AZ
  • NPI 1487155354
  Medicare reassignment
• Morgan Medical Corp

  dba MRI of North Brevard

  • Diagnostic Radiology Physician
  • Titusville, FL
  • NPI 1679566756
  NPD (past)
• Neuroscience and Spine Associates PL

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1669536645
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420070400000",
    "number": "1699741108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040097",
            "telephone_number": "928-717-9797",
            "fax_number": "928-717-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WILLOW CREEK RD",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011645",
            "telephone_number": "928-717-9797",
            "fax_number": "928-717-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "DOUGLAS",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2015-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "32560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamrock Recovery Services LLC. (TLC Recovery Services)
• John Joseph Shebek, MSW
• Bailey Sheggeby
• Winnifred Debbra Shelby, NP
• Alexandra K Shelton, SLPA
• Sherlock Enterprises LLC (Shuttle 'U' Airport Transportation Co)
• Dora J Sherman, D.O.
• Shantell Shipp, FNP-C
• David Shirley
• Titiana Shostak-Kinker, L.M.T.

• Neurology Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.