FREDERICK KNIGHT SHEPPARD (NPI# 1760727937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760727937 |
| Entity Type | Individual |
| Full Name | FREDERICK KNIGHT SHEPPARD |
| Credential | DC |
| Practice Address |
2649 Bay Settlement Rd Green Bay WI 54311-7328 |
| Mailing Address |
2649 Bay Settlement Road Green Bay WI 54311 |
| Practice Telephone | 9063708335 |
| Mailing Telephone | 9063708335 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2301005616 | MI | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1883 | WI | Chiropractic Providers |
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
1883 | WI | Chiropractic Providers |
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
2301005616 | MI | Chiropractic Providers |
| N | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
2301005616 | MI | Chiropractic Providers |
| N | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
1883 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | E30003847 | 05 |
| Street Address |
2649 BAY SETTLEMENT RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-7328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431539 | Elkhorn Family Chiropractic LLC | Chiropractor | 9 N Wisconsin St, Elkhorn, WI 53121-1737 | 2016-12-14 |
| 1184881039 | Steven John Kumm | Chiropractor | 446 South Knowles Ave, New Richmond, WI 54017-1733 | 2008-05-19 |
| 1417135138 | Michalski Chiropractic Wellness Centre, S.c. | Chiropractor | 11407 W. Blue Mound Rd., Wauwatosa, WI 53226-4031 | 2008-02-05 |
| 1720274749 | Groskopp Chiropractic, Sc | Chiropractor | 708 W Ryan St, Brillion, WI 54110-1045 | 2007-09-24 |
| 1528118635 | Roy W Mutsch | Chiropractor | 4680 W Bradley Rd, Brown Deer, WI 53223-3764 | 2007-01-11 |
| 1588733083 | Ronald Thadeus Michalski | Chiropractor | 11407 W Bluemound Rd, Wauwatosa, WI 53226-4031 | 2006-11-07 |
| 1760563944 | Stender Orthopedic and Chiropractic Clinic Inc | Chiropractor | 824 S Hastings Way, Eau Claire, WI 54701-3426 | 2006-10-17 |
| 1801976279 | John Michael Haase | Chiropractor | 4200 University Ave Ste 2100, Madison, WI 53705-2172 | 2006-10-17 |
| 1356437958 | Mark A Dull | Chiropractor | 237 E. Main St, Twin Lakes, WI 53181 | 2006-10-04 |
| 1750486338 | Donn Thomas Gurske | Chiropractor | 9217 W Center St, Milwaukee, WI 53222-4516 | 2006-09-14 |
| 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.