Stephen H Shepard, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

A344 Issued in SC

Practice address

222 S Herlong Ave
Rock Hill, SC 29732-1158

Phone

(803) 329-6849

NPI assigned

Oct 23, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Riverview Family Medicine, LLC

  • Family Medicine Physician
  • Rock Hill, SC
  • NPI 1730740333
  Medicare reassignment
• South Carolina Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Rock Hill, SC
  • NPI 1548454754
  NPD (past)
• York Emergency Physicians

  • Emergency Care Clinic/Center
  • Rock Hill, SC
  • NPI 1700828084
  NPD (past)
• Riverview Family Medicine PA

  • Family Medicine Physician
  • Riverview, FL
  • NPI 1649301466
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1902989825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848789",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848789",
            "telephone_number": "757-221-7111",
            "fax_number": "757-221-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "803-329-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "A344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QM0528",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shavan, LLC
• Adam Robert Sheetz
• Jennifer E Shelley
• Linda S Shenton, ACNP
• Mary Jane Shepard, RN
• Sherer's Senior Homecare LLC
• Scott Sherrill, PTA
• Shiland Family Medicine
• Shannon Shipe
• Jacob Shirk, DMD

• Physician Assistant in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.

Verify at the official NPI Registry.