AMBER Y SHEPARD (NPI# 1033563580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033563580 |
| Entity Type | Individual |
| Full Name | AMBER Y SHEPARD |
| Credential | M.D. |
| Practice Address |
1255 Highway 60 E Ste 500 Lake Wales FL 33853 |
| Mailing Address |
1255 State Road 60 E Ste 500 Lake Wales FL 33853-4302 |
| Practice Telephone | 8636768237 |
| Practice Fax Number | 8636768207 |
| Mailing Telephone | 8636768237 |
| Mailing Fax Number | 8636768207 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME141025 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 Highway 60 E Ste 500, Lake Wales, FL 33853 | 8636768237 | 8636768207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624261 | Amber Shepard | Technician | 5916 Walnut Cir Apt A7, Toledo, OH 43615-6628 | 2020-06-23 |
| 1104309129 | Amber Nicole Shepard | Nurse Practitioner | 125 Litton Covered Bridge Rd, Huntsville, TN 37756-3903 | 2018-09-14 |
| 1457951766 | Amber Shepard | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-10-27 |
| Street Address |
1255 HIGHWAY 60 E STE 500 |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218998 | Marcel Fundora | Dentist | 701 Fl-60, Lake Wales, FL 33853 | 2020-06-04 |
| 1386291599 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1255 Florida 60, Suite 300, Lake Wales, FL 33853 | 2019-08-22 |
| 1932753472 | Adeline Brooke Warren | Occupational Therapist | 512 S 11th Street, Lake Wales, FL 33853 | 2019-08-01 |
| 1174982458 | Ledesha Marie Dorothy Maduro | Dentist | 24185 Us Hwy 27 North, Lake Wales, FL 33853 | 2016-02-16 |
| 1528402435 | Buck Andreu Scott | Surgery | 407 S 11th St, Lake Wales, FL 33853 | 2013-04-22 |
| 1447598321 | Central Florida Health Care, Inc. | Dentist | 305 West Central Avenue, Lake Wales, FL 33853 | 2013-01-28 |
| 1972864932 | Kevin T Barlow, Pa. Dba: Winter Haven Audiology and Ridge Audiology. | Clinic/Center | 704 Sr 60 East, Lake Wales, FL 33853 | 2012-06-06 |
| 1316266364 | Elba M Lopez | Massage Therapist | 318 S. First Street, Lake Wales, FL 33853 | 2010-05-28 |
| 1063657955 | Lake Wales Medical Imaging Center One, Inc | Technician, Health Information | 1255 Highway 60 East 110, Lake Wales, FL 33853 | 2008-12-08 |
| 1467605634 | Multi-specialty & Primary Care Practice Group of Lake Wales LLC | Specialist | 1255 State Road 60 East, Lake Wales, FL 33853 | 2008-10-31 |
| Find all providers in zip 33853 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386741825 | Margaret Ellen Eastham | Family Medicine | 1030 Chalet Suzanne Rd, Lake Wales, FL 33859-7760 | 2006-09-19 |
| 1487673901 | Karen Phillipps | Family Medicine | 851 Chalet Suzanne Rd, Lake Wales, FL 33859-7759 | 2006-07-18 |
| 1619902186 | Karen N Phillipps Md Pa | Family Medicine | 231 E Tillman Ave, Lake Wales, FL 33853-3792 | 2006-07-12 |
| 1255310074 | Carmen Milagros Cabrera Crespo | Family Medicine | 684 State Road 60 W, Lake Wales, FL 33853-4419 | 2006-01-11 |
| 1518945377 | Joseph J. Behal | Family Medicine | 1138 Carlton Ave, Lake Wales, FL 33853-4305 | 2006-01-03 |
| 1518964873 | James A Nelson | Family Medicine | 1110 Druid Cir, Lake Wales, FL 33853-4307 | 2005-07-01 |
| 1548805856 | Lacey Whatley | Family Medicine | 2433 State Road 60 E, Lake Wales, FL 33898-5122 | 2019-11-11 |
| 1659884096 | Nakisha Lavon Watson | Family Medicine | 1110 Druid Cir, Lake Wales, FL 33853-4307 | 2017-11-07 |
| 1124499173 | Jean Fritzner Balan | Family Medicine | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2015-10-16 |
| 1891187159 | William J Barringer | Family Medicine | 1110 Druid Cir, Lake Wales, FL 33853-4307 | 2015-02-24 |
| Find all providers in LAKE WALES | ||||
| City | LAKE WALES |
| Zip Code | 33853 |
Please comment or provide details below to improve the information on AMBER Y SHEPARD.
| 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.