Theodore Geddes Shepard, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD0000022190 Issued in TN

Practice address

1747 Medical Center Pkwy
Suite 210
Murfreesboro, TN 37129-2563

Phone

(615) 893-1600

Fax

(615) 225-6887

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1699756551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 MEDICAL CENTER PKWY",
            "address_2": "SUITE 210",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292563",
            "telephone_number": "615-893-1600",
            "fax_number": "615-225-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 MEDICAL CENTER PKWY",
            "address_2": "SUITE 210",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292563",
            "telephone_number": "615-893-1600",
            "fax_number": "615-225-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "THEODORE",
        "middle_name": "GEDDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD0000022190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Shea, M.S. CCC/SLP
• Donna Ann Shelton, OTR/L
• Marsha Christine Shelton
• Shelvia Simone' Sims Shelton, NP
• Nicholas Alan Shepard, MD
• Jonathan Sheridan, DC
• Korey Elizabeth Sheridan, DC
• Kristine Lynn Sherman
• Kristen Elizabeth Sherrerd, PT, DPT, NCS
• Sherry Hall, Inc.

• Urology Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.