DR. RONALD G SHEPHERD (NPI# 1912901463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912901463 |
| Entity Type | Individual |
| Full Name | DR. RONALD G SHEPHERD |
| Credential | D.C. |
| Practice Address |
126 1/2 Cody Rd S Le Claire IA 52753-9236 |
| Mailing Address |
Po Box 504 Le Claire IA 52753-0504 |
| Practice Telephone | 5632893242 |
| Mailing Telephone | 5632893242 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111NS0005X |
Chiropractor Specialization: Sports Physician |
AO5839 | IA | Chiropractic Providers |
| X | 111NX0800X |
Chiropractor Specialization: Orthopedic |
AO5839 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0132407 | 05 | |
| IA | BLUE CROSS BLUE SHEILD | 50512 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144551235 | Ronald Douglas Shepherd | Dentist | 10 Southridge Rd, Terre Haute, IN 47802-4962 | 2010-01-29 |
| Street Address |
126 1/2 CODY RD S |
| City | LE CLAIRE |
| State | IA |
| Zip Code | 52753-9236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376001602 | Zachary Michael Knight | Chiropractor | 1405 Eagle Ridge Road Ste. 2, Leclaire, IA 52753 | 2019-03-05 |
| 1326467036 | Mat Eveleth | Specialist | 2001 Canal Shore Dr. Sw, Leclaire, IA 52753 | 2014-04-09 |
| 1457666232 | Riverview Partners LLC | Dentist | 1111 Canal Shore Dr, Le Claire, IA 52753 | 2010-08-17 |
| 1306025416 | Heather Freyermuth | Occupational Therapist | 902 Iowa Drive, Leclaire, IA 52753 | 2007-10-25 |
| 1255427597 | Bradley T Dewall | Specialist | 21985 277th Ave, Le Claire, IA 52753 | 2006-10-05 |
| 1821022161 | Gastroenterology Associates PC | Internal Medicine | 2222 53rd Avenue, Bettendorf, IA 52753 | 2006-07-11 |
| 1740311224 | Stephen Walter Byers | Dentist | 126 South Cody Road, Leclaire, IA 52753-0606 | 2007-03-08 |
| 1386067817 | Spring Park Oral and Maxillofacial Surgeons, P.C. | Clinic/Center | 1111 Canal Shore Dr Sw, Le Claire, IA 52753-7602 | 2014-02-04 |
| 1023284023 | Kitzman Chiropractic & Acupuncture Professional Corporation | Chiropractor | 1101 Canal Shore Dr Sw, Le Claire, IA 52753-7602 | 2008-04-30 |
| 1255522025 | Jay Kitzman | Chiropractor | 1101 Canal Shore Dr., Leclaire, IA 52753-7602 | 2007-08-07 |
| Find all providers in zip 52753 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685569 | Percuoco Chiropractic and Rehabilitation, Pllc | Chiropractor | 3200 Ingersoll Ave Ste E, Des Moines, IA 50312-3917 | 2020-03-26 |
| 1497131007 | Engineered Per4mance, Inc. | Chiropractor | 1711 Sw Plaza Pkwy, Ankeny, IA 50023 | 2015-08-05 |
| 1982089025 | Gerard Chiropractic | Chiropractor | 112 West Davenport St Unit 1, Eldridge, IA 52748 | 2015-07-29 |
| 1942621453 | Oleson Chiropractic, Inc | Chiropractor | 514 1st Ave, Armstrong, IA 50514-7700 | 2013-12-31 |
| 1508100579 | Forest City Chiropractic & Sports Clinic,p.c. | Chiropractor | 245 N Clark St, Forest City, IA 50436-1511 | 2012-11-15 |
| 1194973859 | King Chiropractic LLC | Chiropractor | 1749 E 54th St, Davenport, IA 52807-2769 | 2008-09-05 |
| 1861614596 | Terri Lyn Cooper | Chiropractor | 1500 Center St Ne, Cedar Rapids, IA 52402-5500 | 2007-05-03 |
| 1396861266 | Todd M Goodwin | Chiropractor | 30 W. 2nd Str., Kingsley, IA 51028 | 2007-03-22 |
| 1518010768 | Susan R. Duncan | Chiropractor | 301 E Mayne St, Blue Grass, IA 52726-9794 | 2007-01-19 |
| 1578622759 | Murphy Chiropractic PC | Chiropractor | 224 S. Main St., Odebolt, IA 51458 | 2006-12-06 |
| 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.