Shane J Shepard (NPI# 1962798066, PAC ID# 1850519489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1962798066 |
| PAC ID by PECOS | 1850519489 |
| Professional Enrollment ID | I20140823000285 |
| Full Name | Shane J Shepard |
| Address |
124 N Brent St Ventura CA 93003-2810 |
| Phone Number | 8056419880 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| Address | Phone | Organization |
|---|---|---|
| 124 N Brent St, Ventura, CA 93003-2810 | 8056419880 |
| Street Address |
124 N BRENT ST |
| City | VENTURA |
| State | CA |
| Zip | 93003-2810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley Frochtzwajg | Family Medicine | 124 N Brent St, Ventura, CA 93003-2810 | |
| William Speitel | Family Medicine | 124 N Brent St, Ventura, CA 93003-2810 | |
| Sandhya T Patel | Pediatric Medicine | 124 N Brent St, Ventura, CA 93003-2810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher Robert Skromme | Optometry | 801 S Victoria Ave, Suite 206 Two Trees Optometry, Ventura, CA 93003-0401 | |
| Susan M Roney | Nurse Practitioner | 1290 Sunnycrest Ave, Ventura, CA 93003-1213 | |
| Judy S Scott I | Clinical Social Worker | 899 Via Arroyo, Ventura, CA 93003-1318 | |
| Margaret A Peterson | Family Medicine | 2895 Loma Vista Rd E, Ventura, CA 93003-1522 | |
| John Floryan | Optometry | 2895 Loma Vista Rd, A, Ventura, CA 93003-1522 | |
| Lindsay Oliver | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Maria Margarida Guerra Larson | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Michael C Bishop | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Sara E Rodriguez | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Vika Preddy | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Find all physicians in zip 93003 | |||
| City | VENTURA |
| Zip Code | 93003 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VENTURA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane J Shepard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.