Sohaan A Chichester-Shepperd, PA
Individual provider Active NPI Medical Physician Assistant · Arcadia, FL
NPI 1831529874 · NPPES record last updated Aug 26, 2015
Key facts
- NPI
- 1831529874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA9107583 (FL)
- Practice address
- 1707 E Oak St
Arcadia, FL 34266-8925 - Phone
- (863) 448-9242
- Fax
- (863) 491-0760
- NPI assigned
- Nov 12, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catalyst Walk-in Clinic
Practice addresses (Care Compare)
1707 E Oak St
Arcadia, FL 34266-8925
Phone (863) 448-9242
Hospital & facility affiliations
- Desoto Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131126001642 | FL | Practitioner - Physician Assistant | 8921234782 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Current |
Accepting new patients | |
| Peace of Mind Internal Medicine PLLC Jennifer a Cooke Sole MBR | Past | Accepting new patients |
Locations
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
Interoperability endpoints
- sohaan.chichester-shepperd.1@11123.direct.athenahealth.com
- https://api.platform.athenahealth.com/11123/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9107583 | FL | Yes |
Addresses
Primary practice location
1707 E Oak St
Arcadia, FL 34266-8925
Mailing address
19185 Edgewater Dr
Port Charlotte, FL 33948-7653
Phone (863) 448-9242
Other providers in Arcadia, FL
- Kenan Murat Cetin
- Adela Chancey
- Michael Alan Charash
- Charles R Habelow MD PA
- Charlotte Nephrology Associates, P.a.
- Terry L Chouinard
- Dennis Paul Cirillo
- Vanessa Cisneros
- Coast to Coast MHS, LLC
- Susan Cobb
All providers in Arcadia, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.