CYNTHIA J SHEPHERD


Address: 5414 S Broadway, Tyler, TX 75703-1335
Phone: 9035811601

CYNTHIA J SHEPHERD (NPI# 1346349297) 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) 1346349297
Entity Type Individual
Full Name CYNTHIA J SHEPHERD
Credential PA-C
Practice Address 5414 S Broadway
Tyler
TX 75703-1335
Mailing Address Po Box 841656
Dallas
TX 75284-1656
Practice Telephone 9035811601
Mailing Telephone 9035315000
Enumeration Date 2006-09-21
Last Update Date 2017-02-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine PA00873 TX Allopathic & Osteopathic Physicians
N 208800000X Urology PA00873 TX Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 298380107 05
TX TRICARE 75-0818167-015 01
TX TRICARE 75-1976930-005 01
TX TRICARE 75-2616977-001 01
TX BCBS 87N530 01
TX TRICARE 75-2616977-129 01
TX RAIL ROAD MEDICARE P01762496 01
TX TRICARE 75-0818167-048 01
TX TRICARE 75-0818167-022 01
TX 298380104 05
TX 298380106 05
TX TRICARE 75-2616977-028 01
TX TRICARE 75-2616977-002 01
TX 298380105 05
TX TRICARE 75-0818167-044 01
TX RAIL ROAD MEDICARE P01761917 01

Other Providers CYNTHIA SHEPHERD

NPI Name Taxonomy Address Enumeration
1457982241 Cynthia Marie Shepherd Social Worker 3835 Edison Lakes Pkwy Ste 200, Mishawaka, IN 46545-3462 2020-01-30
1689899486 Cynthia L Shepherd Speech-Language Pathologist 2824 Hunter Rd, Huntertown, IN 46748-9456 2007-04-16
1710409784 Cynthia L Shepherd Behavior Technician 11 Robinson St, Pottstown, PA 19464-6421 2017-07-12
1912435058 Cynthia M Shepherd Registered Nurse 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926 2017-06-02
1861639338 Cynthia G Shepherd Speech-Language Pathologist 817 N. Mound St., Nacogdoches, TX 75961-4427 2009-01-20
1730236688 Cynthia L Shepherd Internal Medicine 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607 2007-01-04
1043273212 Cynthia R. Shepherd Physical Therapist 260 Fort Sanders West Blvd, Suite 110, Knoxville, TN 37922-3355 2006-04-10

Office Location

Street Address 5414 S BROADWAY
City TYLER
State TX
Zip Code 75703-1335

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972129997 Elizabeth Niedrauer Physician Assistant 2314 S Kennedy Ave, Tyler, TX 75701-5242 2020-06-25
1629489042 Lifetime Health Center Physician Assistant 1420 Wsw Loop 323, Suite 100, Tyler, TX 75701-9347 2014-05-20
1407273428 East Texas Physician Assistant Services Physician Assistant 5380 Old Bullard Rd Ste 600-125, Tyler, TX 75703-3607 2014-03-27
1023356524 Vitality Center Physician Assistant 14444 Eastside Rd, Tyler, TX 75707-6724 2013-01-18
1790029007 John M Mclean Physician Assistant 3700 Mcdonald Rd, Apt 260, Tyler, TX 75701-6253 2012-11-27
1124058524 David Beck Physician Assistant 1133 Medical Dr, Tyler, TX 75701-2130 2006-07-03
1467444141 Thomas R Scholler Physician Assistant 703 S Fleishel Ave, Tyler, TX 75701-2015 2005-08-18
1376535054 Stephanie S Carter Physician Assistant 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 2005-08-18
1992797799 Matthew M Hand Physician Assistant 619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 2005-08-17
1518962299 Nina Beth Partin Physician Assistant 910 E Houston St, Ste 550, Tyler, TX 75702-8369 2005-06-17
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75703

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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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