MARK DEVIN SHEPHERD


Address: 670 Crossover Rd, Tupelo, MS 38801-4944
Phone: 6628448414

MARK DEVIN SHEPHERD (NPI# 1376559880) 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) 1376559880
Entity Type Organization
Organization Name MARK DEVIN SHEPHERD
Other Organization Name ENDOCRINOLOGY CONSULTANTS, PLLC
Practice Address 670 Crossover Rd
Tupelo
MS 38801-4944
Mailing Address Po Box 4087
Tupelo
MS 38803-4087
Practice Telephone 6628448414
Practice Fax Number 6628448275
Mailing Telephone 6628448414
Mailing Fax Number 6628448275
Enumeration Date 2006-08-01
Last Update Date 2007-11-28
Authorized Official Name DR. MARK D SHEPHERD (DIRECTOR)
Authorized Official Telephone 6628448414
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 09778731 05
MS RAILROAD MEDICARE GROUP # CH0754 01

Other Provider/Organization Names

Other Name Type Code
Endocrinology Consultants, PLLC Other Name - Individual/Organization

Office Location

Street Address 670 CROSSOVER RD
City TUPELO
State MS
Zip Code 38801-4944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891233458 Amanda Watkins Nurse Practitioner 670 Crossover Rd, Tupelo, MS 38801-4944 2017-02-03
1679855159 Jessica W Eaton Nurse Practitioner 670 Crossover Rd, Tupelo, MS 38801-4944 2011-09-12
1932349818 Kristin A. Mcdaniel Dietitian, Registered 670 Crossover Rd, Tupelo, MS 38801-4944 2009-03-04
1861605560 Leslie R Hale Nurse Practitioner 670 Crossover Rd, Tupelo, MS 38801-4944 2007-05-08
1801009592 Lisa D Foley Nurse Practitioner 670 Crossover Rd, Tupelo, MS 38801-4944 2007-05-08
1962512590 Leonil A. Gan Lim Internal Medicine 670 Crossover Rd, Tupelo, MS 38801-4944 2006-08-30
1760499867 Mark D Shepherd Internal Medicine 670 Crossover Rd, Tupelo, MS 38801-4944 2006-08-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
Find all providers in zip 38801

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740251941 Jayant Dey Internal Medicine 4250 S Eason Blvd, Tupelo, MS 38801-6549 2006-01-27
1457322661 Endocrine & Metabolic Disorders Institute Pllc Internal Medicine 910 Mary Vance Drive, Tupelo, MS 38801-0000 2006-01-27
1710988977 Sherry Alcorn Martin Internal Medicine 607 Garfield St, Tupelo, MS 38801-6337 2005-08-09
1326274739 North Mississippi Endocrine Center Internal Medicine 65 S Thomas St, Tupelo, MS 38801-4352 2009-06-01
1962512590 Leonil A. Gan Lim Internal Medicine 670 Crossover Rd, Tupelo, MS 38801-4944 2006-08-30
1760499867 Mark D Shepherd Internal Medicine 670 Crossover Rd, Tupelo, MS 38801-4944 2006-08-02
1336140847 Sherry A. Martin Endocrine Clinic Internal Medicine 607 Garfield St, Tupelo, MS 38801-6337 2005-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841761129 Dcgm, Inc Internal Medicine 1040 River Oaks Dr Ste 302, Flowood, MS 39232-9575 2018-12-11
1669727228 Farah Naz Mushtaq Internal Medicine 5909 U S Highway 49 Ste 30, Hattiesburg, MS 39402-2860 2012-07-19
1649404435 Memorial Hospital At Gulfport Internal Medicine 970 Tommy Munro Dr, Biloxi, MS 39532-2130 2009-05-07
1396808879 Oxford Endocrinology Consultants, P.C. Internal Medicine 512 Azalea Drive, Oxford, MS 38655 2006-12-18
1376553222 Richard J Galloway Internal Medicine 5909 Us Highway 49, Suite 30, Hattiesburg, MS 39401 2006-08-09
1477563104 Amanda Reagan Schiefer Internal Medicine 971 Lakeland Drive, Jackson, MS 39126 2006-08-08
1366498677 Linda Mary Dales Internal Medicine 1516 23rd Ave, Meridian, MS 39301-4026 2006-05-26
1588617997 Beverly Lansden Internal Medicine 4540 W Railroad St, Gulfport, MS 39501-2480 2006-05-18
1730138231 Diabetes & Endocrine Institute, Pllc Internal Medicine 2610 Courthouse Cir, Flowood, MS 39232-9562 2006-05-10
1134671787 Jackson Thyroid & Endocrine Clinic Pllc Internal Medicine 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 2016-10-31
Find all providers with the same taxonomy

Competitor

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City TUPELO
Zip Code 38801

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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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