Active NPI
Ryan M Shephard, D.O.
- Orthopaedic Surgery Physician
- Whitesburg, KY
National Provider Identifier
1801107289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101018810
- Practice address
- 214 Hospital Rd
Whitesburg, KY 41858-7627 - Phone
- (606) 633-6870
- Fax
- (606) 633-5656
- NPI assigned
- Jun 30, 2010
- Last updated
- Nov 22, 2019
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101018810 | MI | Primary |
Addresses
Primary practice location
214 Hospital Rd
Whitesburg, KY 41858-7627
Mailing address
214 Hospital Rd Ste B
Whitesburg, KY 41858-7627
Phone (606) 633-6870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OF96004 | Other | MI | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
268 W Main St
Suite 2
Fredonia, NY 14063-2200
Phone (716) 672-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 25 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Erie Medical Services, PC | Current | Accepting new patients |
Locations
268 W Main St
Ste 2
Fredonia, NY 14063
Phone (716) 672-2000
Interoperability endpoints
- ryanshephard@arh.medalliesdirect.net
- ryanshepharddo@lakeeriehealth.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Fredonia, NY
- NPI 1437406931
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Derby, NY
- NPI 1225654494
Hospital
-
- General Acute Care Hospital
- Dunkirk, NY
- NPI 1215917224
-
dba UPMC Chautauqua WCA
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
-
dba UPMC Chautauqua WCA
- General Acute Care Hospital
- Jamestown, NY
- NPI 1770573222
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1801107289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 HOSPITAL RD STE B",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418587627",
"telephone_number": "606-633-6870",
"fax_number": "606-633-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 HOSPITAL RD",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418587627",
"telephone_number": "606-633-6870",
"fax_number": "606-633-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHARD",
"first_name": "RYAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101018810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "OF96004",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitesburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.