DR. DAVID MARTIN SHEPHERD (NPI# 1356380802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356380802 |
Entity Type | Individual |
Full Name | DR. DAVID MARTIN SHEPHERD |
Credential | MD |
Practice Address |
41935 W 12 Mile Rd 103 Novi MI 48377-3111 |
Mailing Address |
30178 Mayfair Dr Farmington Hills MI 48331-2156 |
Practice Telephone | 2483478030 |
Practice Fax Number | 2483056694 |
Mailing Telephone | 2486619068 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2014-11-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 32402 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | MEDICARE RAILROAD | P00288647 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902066442 | David Carlton Shepherd | Internal Medicine | 5550 Vessey Rd, Colorado Springs, CO 80908-3288 | 2008-06-09 |
1730166893 | David L Shepherd | Urology | 801 W I 20 Ste 1, Arlington, TX 76017-5851 | 2005-12-29 |
1174529986 | David James Shepherd Jr. | Internal Medicine | 721 W Broadway Ave Ste D, Enid, OK 73701-3800 | 2005-06-27 |
1871874016 | David R Shepherd | Pharmacist | 198 E Main St, Hendersonville, TN 37075-2520 | 2011-09-01 |
1821127226 | David Scott Shepherd Jr. | Pharmacist | 279 Boston Post Rd, Orange, CT 06477-3558 | 2007-03-04 |
1235279746 | David W Shepherd | Surgery | 330 S 5th St Ste 401, Enid, OK 73701-5863 | 2007-02-07 |
1942266911 | David W Shepherd | Nurse Anesthetist, Certified Registered | 303 S Main St, Bluffton, IN 46714-2503 | 2006-04-26 |
Street Address |
41935 W 12 MILE RD 103 |
City | NOVI |
State | MI |
Zip Code | 48377-3111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053300830 | Samuel K Rosemberg | Legal Medicine | 41935 W 12 Mile Rd, Suite 308, Novi, MI 48377-3111 | 2005-10-14 |
1881024966 | Scott Mcphee | Behavioral Analyst | 41935 W 12 Mile Rd, Suite 202, Novi, MI 48377-3120 | 2013-11-26 |
1962847764 | Amy Meltzer | Pediatrics | 41935 W 12 Mile Rd, Novi, MI 48377-3120 | 2013-05-07 |
1700123817 | Twelve Oaks Pediatrics, Pllc | Pediatrics | 41935 W 12 Mile Rd, Suite 102, Novi, MI 48377-3120 | 2013-01-09 |
1710276126 | Michelle Fuhr | Psychologist | 41935 W 12 Mile Rd, Novi, MI 48377-3111 | 2011-04-06 |
1538303920 | David M. Shepherd Md PC | Ophthalmology | 41935 W 12 Mile Rd, Suite 103, Novi, MI 48377-3111 | 2009-04-29 |
1184816092 | David M. Shepherd Md PC | Clinic/Center | 41935 W 12 Mile Rd, Suite 103, Novi, MI 48377-3111 | 2007-08-14 |
1457421620 | Dmc Centers, Inc. | Clinic/Center | 41935 W 12 Mile Rd, Novi, MI 48377-3111 | 2006-11-08 |
1457459190 | My Kids Doc Novi Pllc | Pediatrics | 41935 W 12 Mile Rd, Suite 102, Novi, MI 48377-3111 | 2006-09-20 |
1366552309 | Sheryl Lynne Hirsch | Pediatrics | 41935 W 12 Mile Rd, Suite 102, Novi, MI 48377-3111 | 2006-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
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Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083620074 | Peter Matthew Mccann | Ophthalmology | 26850 Providence Pkwy Ste 150, Novi, MI 48374-1254 | 2006-07-31 |
1538303920 | David M. Shepherd Md PC | Ophthalmology | 41935 W 12 Mile Rd, Suite 103, Novi, MI 48377-3111 | 2009-04-29 |
1962619759 | Farmington Associates | Ophthalmology | 24230 Karim Blvd, Suite 150, Novi, MI 48375-2960 | 2007-05-17 |
1669553368 | Eye Care Associates PC | Ophthalmology | 26850 Providence Pkwy Ste 150, Novi, MI 48374-1254 | 2006-10-18 |
1952314122 | David Alexander Wadowski | Ophthalmology | 26850 Providence Pkwy Ste 150, Novi, MI 48374-1254 | 2006-08-15 |
1669417408 | Avninder Singh Dhaliwal | Ophthalmology | 26850 Providence Pkwy, Suite 240, Novi, MI 48374-1213 | 2006-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
1457973018 | Neha Gupta | Ophthalmology | 1134 Woburn Grn, Bloomfield Hills, MI 48302-2300 | 2020-05-17 |
1003437823 | Great Lakes Eye Institute | Ophthalmology | 800 Woodside Ave, Bay City, MI 48708-5468 | 2020-05-04 |
1447899273 | Legacy Eye Institute Plc | Ophthalmology | 811 East Street, Lapeer, MI 48446-3033 | 2019-12-26 |
1013471515 | Marshall Ophthalmology, Pllc | Ophthalmology | 16468 Emily Corlett, Marshall, MI 49068-8323 | 2019-01-29 |
1023583564 | Rochester Ophthalmology, Pllc | Ophthalmology | 1135 W University Dr Ste 155, Rochester, MI 48307-1871 | 2018-10-11 |
1205301983 | Grand Blanc Opthalmology | Ophthalmology | 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 | 2018-10-09 |
1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
1487189254 | Yaldo Eye Centers PC | Ophthalmology | 31535 Ford Rd, Garden City, MI 48135-1821 | 2017-04-28 |
1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
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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.