Shepherd's Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SHEPHERD'S CLINIC

Practice address

2800 Kirk Ave
Baltimore, MD 21218-3647

Phone

(410) 467-7140

Fax

(410) 467-7141

NPI assigned

Aug 26, 2011

Last updated

Aug 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Keamy, M.D.

Title

Medical Director

Phone

(410) 467-7140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1962782532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 KIRK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183647",
            "telephone_number": "410-467-7140",
            "fax_number": "410-467-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 KIRK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183647",
            "telephone_number": "410-467-7140",
            "fax_number": "410-467-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "KEAMY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-467-7140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie N Shepard
• Wendy Christine Shepard, PMHCNS-BC
• Kelly Anne Sheperd Riolo, PH.D.
• Jessica W Shepherd
• Victoria Elizabeth Shepherd, DNP, CRNP
• George R Shepley, D.D.S.
• Patricia R Shepley, LCSW-C
• Sheppard Pratt Health System, Inc. (Berkeley & Eleanor Mann Residential Treatment Center)
• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Health System, Inc.

• Community Health Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.