Active NPI
Shelley M. Shepard M.D.P.C.
- Obstetrics & Gynecology Physician
- Gillette, WY
National Provider Identifier
1922285295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 6299A
- Legal business name
- SHELLEY M. SHEPARD M.D.P.C.
- Practice address
- 1206 W 4TH St
Suite 1
Gillette, WY 82716-3300 - Phone
- (307) 685-0130
- Fax
- (307) 687-7243
- NPI assigned
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shelley M. Shepard, M.D.
- Title
- Physician
- Phone
- (307) 685-0130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 6299A | WY | Primary |
Addresses
Primary practice location
1206 W 4TH St
Suite 1
Gillette, WY 82716-3300
Mailing address
PO Box 1601
Gillette, WY 82717-1601
Phone (307) 685-0130
National Provider Directory
National Provider DirectoryLocations
1206 W 4th St
Ste 1
Gillette, WY 82716
Phone (307) 682-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1922285295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1601",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827171601",
"telephone_number": "307-685-0130",
"fax_number": "307-687-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 W 4TH ST",
"address_2": "SUITE 1",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163300",
"telephone_number": "307-685-0130",
"fax_number": "307-687-7243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELLEY M. SHEPARD M.D.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "SHEPARD",
"authorized_official_first_name": "SHELLEY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "307-685-0130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "WY",
"license": "6299A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.