Active NPI
F E Shepard Jr MD PC
- Urology Physician
- Norton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 208800000X
- Legal business name
- F E SHEPARD JR MD PC
- Practice address
- 1412 Park Ave NW
Norton, VA 24273-1602 - Phone
- (276) 679-7600
- Fax
- (276) 679-0738
- NPI assigned
- Oct 12, 2007
- Last updated
- Jun 16, 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. Felix E. Shepard Jr.
- Title
- Owner
- Phone
- (276) 679-7600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 208800000X | VA | Primary |
Addresses
Primary practice location
1412 Park Ave NW
Norton, VA 24273-1602
Mailing address
1412 Park Ave NW
PO Box 681
Norton, VA 24273-1602
Phone (276) 679-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010124018 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
1412 Park Ave NW
Norton, VA 24273
Phone (276) 679-7600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Norton, VA
- NPI 1265485585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1942498134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 PARK AVE NW",
"address_2": "PO BOX 681",
"city": "NORTON",
"state": "VA",
"postal_code": "242731602",
"telephone_number": "276-679-7600",
"fax_number": "276-679-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 PARK AVE NW",
"city": "NORTON",
"state": "VA",
"postal_code": "242731602",
"telephone_number": "276-679-7600",
"fax_number": "276-679-0738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "F E SHEPARD JR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-12",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "SHEPARD",
"authorized_official_first_name": "FELIX",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-679-7600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "208800000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010124018",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.