MARK HARRISON SHEPHERD (NPI# 1619289196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619289196 |
Entity Type | Individual |
Full Name | MARK HARRISON SHEPHERD |
Credential | DPT |
Practice Address |
5130 Wilson Blvd # B1 Arlington VA 22205-1169 |
Practice Telephone | 7035279557 |
Practice Fax Number | 7035260438 |
Mailing Telephone | 7035279557 |
Mailing Fax Number | 7035260438 |
Enumeration Date | 2010-07-13 |
Last Update Date | 2010-07-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2305206532 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154756294 | Mark L Shepherd | Nurse Practitioner | 7926 Preston Hwy, Ste. 106, Louisville, KY 40219-3848 | 2013-09-09 |
1154620227 | Mark M Shepherd | Physician Assistant | 1 Hospital Dr, Suite 4200, Asheville, NC 28801-4550 | 2011-03-15 |
1831338169 | Mark Shepherd | Case Manager/Care Coordinator | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2009-02-10 |
1760499867 | Mark D Shepherd | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-02 |
1154300747 | Mark Edward Shepherd Jr. | Emergency Medicine | 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506-3702 | 2006-01-11 |
Street Address |
5130 WILSON BLVD # B1 |
City | ARLINGTON |
State | VA |
Zip Code | 22205-1169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
Find all providers in zip 22205 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740824556 | Jordan Shepler | Physical Therapist | 2310 W I 20 Ste 204, Arlington, TX 76017-1678 | 2019-11-05 |
1760890891 | Erin Mcgraw Leegan | Physical Therapist | 200 N Glebe Rd Ste 310, Arlington, VA 22203-3755 | 2014-08-01 |
1861823809 | Nicole Aniela Szwanke | Physical Therapist | 1005 N Glebe Rd Ste 410, Arlington, VA 22201 | 2013-12-02 |
1710145297 | Edgar Torres | Physical Therapist | 87 Egerton Road, Arlington, MA 02474 | 2008-05-30 |
1811181779 | Jacqueline Lynn Pollock | Physical Therapist | 2211 26th St S, Arlington, VA 22206-2877 | 2007-09-04 |
1801008172 | Jason Eric Grandeo | Physical Therapist | 5130 Wilson Blvd, Suite B-1, Arlington, VA 22205 | 2007-05-07 |
1710106117 | Valarie Elaine Meyer | Physical Therapist | 2800 Connecticut Ln, Arlington, TX 76001-5504 | 2007-04-24 |
1891836011 | Paul Daniel Erickson | Physical Therapist | 2303 Denham Dr, Arlington, TX 76001-8414 | 2007-02-09 |
1912931908 | Ann Michelle Kast | Physical Therapist | 4201 Wilson Blvd # 110-220, Arlington, VA 22203-1859 | 2006-07-10 |
1972549723 | Vikki Dawn Cantone | Physical Therapist | 4201 Wilson Blvd, Suite 110- 220, Arlington, VA 22203-1859 | 2006-06-21 |
Find all providers in ARLINGTON |
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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.