KENNETH B SHEPHARD (NPI# 1568411262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568411262 |
| Entity Type | Individual |
| Full Name | KENNETH B SHEPHARD |
| Credential | MD |
| Practice Address |
8501 Sw 124th Ave Ste 206 Miami FL 33183-4633 |
| Practice Telephone | 3052731919 |
| Practice Fax Number | 3052731929 |
| Mailing Telephone | 3052731919 |
| Mailing Fax Number | 3052721925 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME61784 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
8501 SW 124TH AVE STE 206 |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481022 | Ann E Ballen | Specialist | 8501 Sw 124th Ave, 109, Miami, FL 33183 | 2005-07-19 |
| 1235631946 | Yanet Villalonga | Nurse Practitioner | 8501 Sw 124th Ave, Miami, FL 33183-4627 | 2018-03-08 |
| 1134576465 | Carlos Candales | Nurse Practitioner | 8501 Sw 124th Ave, Suite 102-a, Miami, FL 33183-4627 | 2016-05-17 |
| 1912392580 | Obgyn Comprehensive Care, P.a. | Obstetrics & Gynecology | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2015-04-01 |
| 1780078477 | Kenneth B Shephard | Internal Medicine | 8501 Sw 124th Ave, 206, Miami, FL 33183-4627 | 2015-03-20 |
| 1215357827 | Laura Ann Briz | Nurse Practitioner | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2014-04-22 |
| 1295163509 | Janel Felipe | Optometrist | 8501 Sw 124th Ave, Suite 109, Miami, FL 33183-4627 | 2013-10-23 |
| 1801136734 | Susan Fox D.o., Pa | Obstetrics & Gynecology | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2013-03-01 |
| 1548546682 | Kendall Optical | Health Maintenance Organization | 8501 Sw 124th Ave, Suite 109a, Miami, FL 33183-4627 | 2011-11-02 |
| 1265717102 | Juan Carlos Silva | Technician/Technologist | 8501 Sw 124th Ave, Suite 109a, Miami, FL 33183-4627 | 2011-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346873015 | Chrysalis Health of Florida P.a. | Internal Medicine | 382 Ne 191st St # 52404, Miami, FL 33179-3899 | 2020-02-20 |
| 1386005825 | Galeno Medical Group | Internal Medicine | 351 Nw 42nd Ave Ste 204, Miami, FL 33126-5670 | 2016-03-11 |
| 1396154043 | Amy Wickstrom Hicks | Internal Medicine | 7801 Sw 50th Ct, Miami, FL 33143-6028 | 2014-08-07 |
| 1689913824 | Endoprime, LLC | Internal Medicine | 13055 Sw 42nd St Ste 105, Miami, FL 33175-3409 | 2013-02-07 |
| 1205123742 | Theresa Maria Collier | Internal Medicine | 14720 Jackson St, Miami, FL 33176-7450 | 2011-07-05 |
| 1558673368 | Irina C. Delgado Varela | Internal Medicine | 8501 Sw 124th Ave Ste 206, Miami, FL 33183-4633 | 2010-07-09 |
| 1801069893 | Anthony Ceniza Domingo | Internal Medicine | 1400 Ne Miami Gardens Dr Ste 104, Miami, FL 33179-4843 | 2008-04-10 |
| 1871791269 | Luis R Florez | Internal Medicine | 9233 Sw 136th Ter, Miami, FL 33176-6857 | 2007-07-06 |
| 1699977884 | Yanelis Martin | Internal Medicine | 8500 Sw 92nd St Ste 201, Miami, FL 33156-7379 | 2007-06-01 |
| 1265585442 | Moises Goldszmidt Md Pa | Internal Medicine | 1321 Nw 14 St Suite 407, Miami, FL 33125 | 2007-01-19 |
| Find all providers in MIAMI | ||||
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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.