SIMEON SHEPARD


Address: 13238 Royal George Ave, Odessa, FL 33556
Phone: (386) 566-1949

SIMEON SHEPARD (NPI# 1013434398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013434398
Entity Type Individual
Full Name SIMEON SHEPARD
Practice Address 13238 Royal George Ave
Odessa
FL 33556
Mailing Address 13238 Royal George Ave
Odessa
FL 33556-5724
Practice Telephone (386) 566-1949
Mailing Telephone 3865661949
Enumeration Date 2017-08-28
Last Update Date 2017-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
119725 FL Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 13238 ROYAL GEORGE AVE
City ODESSA
State FL
Zip Code 33556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831623867 Acs Medical Enterprises Inc Clinic/Center 13238 Royal George Ave, Odessa, FL 33556-5724 2017-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773890 Asc of Trinity Clinic/Center 15238 Virginia Station, Odessa, FL 33556 2020-09-03
1700409240 All In One Dme LLC Durable Medical Equipment & Medical Supplies 17086 Simms Road, Odessa, FL 33556 2020-05-19
1578123287 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 13589 State Road 54, Odessa, FL 33556 2019-06-14
1790244267 Gabriela Fernandez Strickland Psychologist 16117 Lytham Drive, Odessa, FL 33556 2019-03-14
1699288266 Melissa Knight Pharmacist 12515 Hitching St, Odessa, FL 33556 2017-11-06
1144604109 Maria Litak Pharmacist 12500 State Road 54, Odessa, FL 33556 2015-07-19
1366671927 Manik S Bedi Dentist 17751 Gunn Hwy, Odessa, FL 33556 2009-07-03
1043295090 Kathleen Young Harrell Nurse Practitioner 17121 Rainbow Terrace, Odessa, FL 33556 2005-12-13
1558854281 Thianna Marie Diamandis Assistant Behavior Analyst 16414 Lake Church Dr, Odessa, FL 33556 2018-06-07
1508384124 Lacie Gunter Behavior Technician 16414 Lake Church Dr, Odessa, FL 33556 2017-09-04
Find all providers in zip 33556

Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225418429 Arthur E Miller IIi Specialist/Technologist, Other 6401 Eastridge Rd Apt 1508, Odessa, TX 79762-5239 2015-06-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689275349 Ydalina Inmaculada Coste Jimenez Specialist/Technologist, Other 6817 College Ct Apt 103, Davie, FL 33317-7169 2020-11-07
1508467374 Anthony Arias Bravo Specialist/Technologist, Other 2380 Fairmont Ave, Miramar, FL 33025-3818 2020-11-06
1831798206 Yanosit Garcia Specialist/Technologist, Other 7945 W 31st Ct, Hialeah, FL 33018-3852 2020-10-18
1043819485 Vivian Martin Specialist/Technologist, Other 3401 Sw 10th St Apt 4, Miami, FL 33135-4431 2020-10-17
1891394243 Tami Coromoto Fort Specialist/Technologist, Other 3433 Garden Ave Apt 4, Miami Beach, FL 33140-3847 2020-10-17
1144829581 Diana Carolina Villalba Pena Specialist/Technologist, Other 555 S Luna Ct Apt 111, Hollywood, FL 33021-7564 2020-10-17
1871192211 Luis Enrique Perez Sanchez Specialist/Technologist, Other 15411 Sw 77th Circle Ln Apt 205, Miami, FL 33193-1823 2020-10-17
1598376493 Melissa Croskey Specialist/Technologist, Other 7271 Bucks Ford Dr, Riverview, FL 33578-8379 2020-08-13
1114545498 Genesis Navas Specialist/Technologist, Other 1330 Coral Way Ste 306, Miami, FL 33145-2945 2020-07-13
1629696786 Indhira Y Pena Specialist/Technologist, Other 20 Commodore Dr Apt 114, Plantation, FL 33325-2676 2020-07-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City ODESSA
Zip Code 33556

Improve Information

Please comment or provide details below to improve the information on SIMEON SHEPARD.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches