MICHAEL SHEPPARD (NPI# 1689057051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689057051 |
| Entity Type | Individual |
| Full Name | MICHAEL SHEPPARD |
| Practice Address |
23w632 Maple Ave Roselle IL 60172-2131 |
| Practice Telephone | 6305018495 |
| Mailing Telephone | 6305018495 |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487761763 | Michael Scott Sheppard | Chiropractor | 5912 Spencer Highway, Pasadena, TX 77505 | 2006-08-24 |
| 1871547893 | Michael Derae Sheppard | Dentist | 2310 Fm 157 North, Suite 103, Mansfield, TX 76063 | 2006-05-22 |
| 1447786728 | Michael Thomas Sheppard | Student in an Organized Health Care Education/Training Program | 515 Ray C Hunt Dr, Charlottesville, VA 22903 | 2017-05-05 |
| 1841640554 | Michael Sheppard | Counselor | 1 S Prospect St, Burlington, VT 05401-3456 | 2016-06-14 |
| 1417343708 | Michael Allen Sheppard | Pharmacist | 701 N 1st St, Springfield, IL 62781-0001 | 2015-04-13 |
| Street Address |
23W632 MAPLE AVE |
| City | ROSELLE |
| State | IL |
| Zip Code | 60172-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292084 | Marsico Enterprises, LLC | In Home Supportive Care | 400 W. Lake Street, Suite 112c, Roselle, IL 60172 | 2020-10-12 |
| 1013483247 | Max Care Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 701 E Irving Park Rd Ste 201, Roselle, IL 60172 | 2018-10-15 |
| 1386137305 | Performance Physical Therapy LLC | Physical Therapist | 400 Lake St Ste 320b, Roselle, IL 60172 | 2018-06-13 |
| 1154780740 | Midwest Speech Therapy | Occupational Therapist | 975 E Nerge Road, Suite W20, Roselle, IL 60172 | 2016-02-11 |
| 1750790408 | Finite Dental LLC | Clinic/Center | 1530 W Lake St, Roselle, IL 60172 | 2014-08-07 |
| 1912292780 | Chris Ciaschini | Contractor | 401 S. Gary Ave, Suite 1, Roselle, IL 60172 | 2011-06-09 |
| 1306141916 | Access Elevator, Inc. | Contractor | 42 Congress Circle W, Roselle, IL 60172 | 2011-01-13 |
| 1568794113 | Jake Buranicz | Physical Medicine & Rehabilitation | 395 Rodenburg Rd., Home Health - Travel, Roselle, IL 60172 | 2010-02-08 |
| 1952565541 | Reema C Patel | Physical Therapist | 1540 W Lake St, Premier Physical Therapy, Roselle, IL 60172 | 2008-07-14 |
| 1669642294 | Max Care Home Health Services Inc. | Home Health | 701 East Irvin Park Road, Suite 106, Rosele, IL 60172 | 2008-03-11 |
| Find all providers in zip 60172 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669540183 | Julian Naumoff | Contractor | 200 Norfolk Ct Apt 6, Roselle, IL 60172-4008 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958607 | Letisha Smith | Contractor | 1921 Michigan City Rd Apt 1e, Calumet City, IL 60409-3724 | 2020-09-29 |
| 1184249088 | Yanko I Stoykov | Contractor | 1807 W Locust Ln, Mt Prospect, IL 60056-4405 | 2020-06-16 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245864784 | Kendall Divante Leonard | Contractor | 524 N Roberts Dr Apt 2b, Glenwood, IL 60425-2300 | 2020-02-24 |
| 1477185379 | Azar Garayev | Contractor | 300 Hudson Ct Apt 106, Wheeling, IL 60090-3184 | 2020-02-07 |
| 1578031183 | Yesenia Servin | Contractor | 2 Westbrook Corporate Ctr Ste 600, Westchester, IL 60154-5716 | 2018-11-13 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1710482542 | Lanisha Blockmon | Contractor | 8214 S Evans Ave, Chicago, IL 60619-5306 | 2018-03-25 |
| 1487157913 | Stavone Mcherron | Contractor | 3420 Fountainbleau Dr, Hazel Crest, IL 60429-2257 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
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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.