Active NPI
James Thomson Shepherd, M.D.
- Internal Medicine Physician
- Port Arthur, TX
National Provider Identifier
1700067915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E6616
- Practice address
- 2501 Jimmy Johnson Blvd Ste 302
Port Arthur, TX 77640-2011 - Phone
- (409) 344-9087
- Fax
- (094) 344-9095
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E6616 | TX | Primary |
Addresses
Primary practice location
2501 Jimmy Johnson Blvd Ste 302
Port Arthur, TX 77640-2011
Mailing address
2501 Jimmy Johnson Blvd Ste 302
Port Arthur, TX 77640-2011
Phone (409) 344-9087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126406106 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6616 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feldschau & Co, PLLC | Current | Accepting new patients |
Locations
2501 Jimmy Johnson Blvd
Ste 302
Port Arthur, TX 77640
Phone (409) 344-9087
Interoperability endpoints
- james.shepherd.1@26744.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Clinic/Center
- Beaumont, TX
- NPI 1548917990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659830400000",
"number": "1700067915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 JIMMY JOHNSON BLVD STE 302",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402011",
"telephone_number": "409-344-9087",
"fax_number": "094-344-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 JIMMY JOHNSON BLVD STE 302",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402011",
"telephone_number": "409-344-9087",
"fax_number": "094-344-9095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "JAMES",
"middle_name": "THOMSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2022-08-07",
"certification_date": "2022-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E6616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126406106",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.