Organization Active NPI

Shelley M. Shepard M.D.P.C.

  • Obstetrics & Gynecology Physician
  • Gillette, WY
National Provider Identifier
1922285295
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6299A Issued in WY
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

Updated by the provider on Jan 29, 2008

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.