Individual provider Active NPI

Steven Neil Shephard, DO, FACOOG

  • Obstetrics Physician
  • Naples, FL
National Provider Identifier
1942425004
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
OS17080 Issued in FL
Practice address
1660 Medical Blvd Ste 300
Naples, FL 34110-1497
Phone
(239) 513-0053
Fax
(239) 596-0900
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101016748 MI
Obstetrics Physician 207VX0000X OS17080 FL Primary

Addresses

Primary practice location

1660 Medical Blvd Ste 300
Naples, FL 34110-1497

Mailing address

1310 Wisconsin Ave
Suite 103
Grand Haven, MI 49417-2472
Phone (616) 844-4528

Other practice location 1

1445 Sheldon Rd
Suite 301
Grand Haven, MI 49417-2480
Phone (616) 847-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916000421 MI Practitioner - Obstetrics/Gynecology 9436378924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101016748MIMDObstetrics & Gynecology Physician
OS17080FLMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Grand Haven Hospital CurrentSince Sep 12, 2018 Accepting new patients
Womencare PA Past Accepting new patients

Locations

1310 Wisconsin St
Ste 103
Grand Haven, MI 49417
Phone (616) 846-2640

1445 Sheldon Rd
Ste 304
Grand Haven, MI 49417
Phone (616) 847-5489

1445 Sheldon Rd
Ste 301
Grand Haven, MI 49417
Phone (616) 844-4701

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

Interoperability endpoints

  • Direct secure messaging: steven.shephard.1@2183.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1942425004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WISCONSIN AVE",
            "address_2": "SUITE 103",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172472",
            "telephone_number": "616-844-4528",
            "fax_number": "616-847-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101497",
            "telephone_number": "239-513-0053",
            "fax_number": "239-596-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Sheldon Rd",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172480",
            "country_code": "US",
            "telephone_number": "616-847-2500",
            "fax_number": "616-847-6719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "STEVEN",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DO, FACOOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016748",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "OS17080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.