NICHOLAS ALAN SHEPARD


Address: 1611 W Harrison St, Chicago, IL 60612-4861
Phone: 8776326637

NICHOLAS ALAN SHEPARD (NPI# 1134506405) 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) 1134506405
Entity Type Individual
Full Name NICHOLAS ALAN SHEPARD
Credential M.D.
Practice Address 1611 W Harrison St
Chicago
IL 60612-4861
Practice Telephone 8776326637
Enumeration Date 2015-05-06
Last Update Date 2020-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
036152449 IL Allopathic & Osteopathic Physicians

Other Providers NICHOLAS SHEPARD

NPI Name Taxonomy Address Enumeration
1396099321 Nicholas Shepard Student in an Organized Health Care Education/Training Program 12440 Firestone Blvd, Norwalk, CA 90650-4328 2012-10-29

Office Location

Street Address 1611 W HARRISON ST
City CHICAGO
State IL
Zip Code 60612-4861

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235138546 Thomas J Nielsen Otolaryngology 1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 2005-07-19
1699376996 Lauren Kennerly Registered Nurse 1611 W Harrison St, Chicago, IL 60612-4861 2020-11-03
1225677404 Mary Kathleen Walsh Orthopaedic Surgery 1611 W Harrison St, Chicago, IL 60612-4861 2020-01-05
1407417900 Megan Merritt Specialist/Technologist 1611 W Harrison St, Chicago, IL 60612-4861 2019-06-25
1881253292 Ellen Rohan Physician Assistant 1611 W Harrison St, Chicago, IL 60612-4861 2019-06-10
1588136154 Elle Steele Physician Assistant 1611 W Harrison St, Chicago, IL 60612-4861 2018-12-20
1720591704 Tricia Jacobs Speech-Language Pathologist 1611 W Harrison St, Chicago, IL 60612-4861 2017-11-13
1811415227 Emily Marie Krogel Nurse Practitioner 1611 W Harrison St, Chicago, IL 60612-4861 2017-09-06
1104376912 Paige Maher Physician Assistant 1611 W Harrison St, Ste 300, Chicago, IL 60612-4861 2016-10-05
1902350929 Leah Kathleen Sparker Specialist/Technologist 1611 W Harrison St, Orthopedic Building Suite 530, Chicago, IL 60612-4861 2016-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609940972 Giri T Gireesan Orthopaedic Surgery 676 North St Clair St, #1777, Chicago, IL 60611 2006-11-20
1346278017 Mark J. Sokolowski Orthopaedic Surgery 1743 N Harlem Ave, Chicago, IL 60707-4305 2006-06-29
1578974994 Krishn Khanna Orthopaedic Surgery 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 2014-05-20
1619242799 Julie M. Wehner Md Sc Orthopaedic Surgery 3000 N Halsted St, Suite 611, Chicago, IL 60657-5188 2012-03-21
1396045464 Mark J Sokolowski Md Sc Orthopaedic Surgery 1743 N Harlem Ave, Chicago, IL 60707-4305 2010-10-23
1366754699 Gregory David Lopez Orthopaedic Surgery 1611 W Harrison St, Ste 300, Chicago, IL 60612-4861 2010-07-01
1205002607 Matthew Wesley Colman Orthopaedic Surgery 1611 W Harrison St, Ste 300, Chicago, IL 60612-4861 2008-05-06
1740358308 Purnendu Gupta Orthopaedic Surgery 2211 North Oak Park Avenue, Suite 3a, Chicago, IL 60707-3329 2006-12-01
1952334948 Christopher J Dewald Orthopaedic Surgery 1611 W Harrison St, Ste 400, Chicago, IL 60612-3841 2006-07-10
1730153065 Julie Wehner Orthopaedic Surgery 3000 N Halsted St, Suite 611, Chicago, IL 60657-5188 2006-02-14
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Competitor

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City CHICAGO
Zip Code 60612

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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.

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