NPIMap

Individual provider Active NPI

Stuart Lockridge Shepheard, M.D.

  • Specialist
  • Norfolk, VA
National Provider Identifier
1710075072
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101036638 Issued in VA
Practice address
400 W Brambleton Ave
Suite #202
Norfolk, VA 23510-1115
Phone
(757) 337-4018
Fax
(757) 337-4019
NPI assigned
Oct 11, 2006
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101036638 VA Primary

Addresses

Primary practice location

400 W Brambleton Ave
Suite #202
Norfolk, VA 23510-1115

Mailing address

400 W Brambleton Ave
Suite #202
Norfolk, VA 23510-1115
Phone (757) 623-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113001067 VA Practitioner - Internal Medicine 0042409591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dowd DO PCGroup PAC ID 5799936522, 7 clinicians

Practice addresses (Care Compare)

400 W Brambleton Ave
Suite 202
Norfolk, VA 23510-1115
Phone (757) 337-4018

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dowd DO PC CurrentSince Oct 1, 2020 Accepting new patients
Plastic Surgery Specialist of Virginia, Inc. Past Accepting new patients

Locations

400 W Brambleton Ave
Ste 202
Norfolk, VA 23510
Phone (757) 337-4018

5833 Harbour View Blvd
Ste B
Suffolk, VA 23435
Phone (757) 337-4018

1024 Centerbrooke Ln
Ste F
Suffolk, VA 23434
Phone (347) 654-5690

Interoperability endpoints

  • Direct secure messaging: drstuartshepheard@cdd-va.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1710075072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W BRAMBLETON AVE",
            "address_2": "SUITE #202",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101115",
            "telephone_number": "757-623-6624",
            "fax_number": "757-623-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BRAMBLETON AVE",
            "address_2": "SUITE #202",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101115",
            "telephone_number": "757-337-4018",
            "fax_number": "757-337-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHEARD",
        "first_name": "STUART",
        "middle_name": "LOCKRIDGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101036638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.