Shepherd'S Place Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17859 Issued in OK

Legal business name

SHEPHERD'S PLACE CLINIC LLC

Practice address

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

Phone

(405) 605-3395

Fax

(405) 605-3673

NPI assigned

Jul 17, 2013

Organization subpart

No

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

Authorized official

Name

Mebin Thomas, PA

Title

Manager

Phone

(405) 414-9139

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1780025858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-605-3395",
            "fax_number": "405-605-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-605-3395",
            "fax_number": "405-605-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD'S PLACE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MEBIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-414-9139",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "17859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Seprina F Sheppard

• Internal Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.