Organization Active NPI

F E Shepard Jr MD PC

  • Urology Physician
  • Norton, VA
National Provider Identifier
1942498134
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
208800000X Issued in VA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Felix E. Shepard Jr.NPI 1265485585
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010124018MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.