Amy R Shepard (NPI# 1093837718, PAC ID# 3870648587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093837718 |
| PAC ID by PECOS | 3870648587 |
| Professional Enrollment ID | I20090902000170 |
| Full Name | Amy R Shepard |
| Organization Legal Name | ASCENSION PROVIDENCE HOSPITAL |
| Address |
26750 Providence Pkwy Novi MI 48374-1211 |
| Phone Number | 3484654782 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6103738703 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 26750 Providence Pkwy, Novi, MI 48374-1211 | 3484654782 | ASCENSION PROVIDENCE HOSPITAL |
| Organization Legal Name | ASCENSION PROVIDENCE HOSPITAL |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel A Yashinsky | Internal Medicine | Ascension Providence Hospital | 30055 Northwestern Hwy 150, Farmington Hills, MI 48334-3211 |
| Amanda A Vivian | Internal Medicine | Ascension Providence Hospital | 1435 N Milford Rd, 101 Providence Oakland Internal Medicine, Milford, MI 48381-1015 |
| Renee Beth Stechow | Nurse Practitioner | Ascension Providence Hospital | 210 N Lafayette St, South Lyon, MI 48178-2048 |
| Colin J Zaporski | Physician Assistant | Ascension Providence Hospital | 16001 W 9 Mile Rd 3rd Floor, Providence Hospital Gastrology, Southfield, MI 48075-4818 |
| Nadine N Roumaya | Obstetrics/gynecology | Ascension Providence Hospital | 8641 W Grand River, 4 Providence Hospital, Brighton, MI 48119-4329 |
| Meghan A Griffin | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 235, Farmington Hills, MI 48334-3282 |
| Sharon Miller | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 270, Providence Ob/gyn, Farmington Hills, MI 48334-3240 |
| Mark Rojewski | Family Medicine | Ascension Providence Hospital | 1200 Byron Rd, Howell, MI 48843-1007 |
| Robert G Dodds | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 260, Providence Family Medicine, Farmington Hills, MI 48334-3275 |
| Usha M Singhi | Internal Medicine | Ascension Providence Hospital | 26850 Providence Pkwy, Novi, MI 48374-1213 |
| Street Address |
26750 PROVIDENCE PKWY |
| City | NOVI |
| State | MI |
| Zip | 48374-1211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Braswell Deen | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey D Placzek | Hand Surgery | Michigan Hand and Wrist, P.C. | 26750 Providence Pkwy, Suite 220, Novi, MI 48374-1212 |
| Jeffrey J Kirouac | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Ashwini Mahindrakar | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 240, Novi, MI 48374-1211 |
| Victoria N Dooley | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Shad Siddiqi | Pain Management | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1212 |
| Diana A Haidar | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kimpson | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Lorenzo Ray M Lim | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Terri Ann Kovacic | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan II PC | 26750 Providence Pkwy, Suite 100, Novi, MI 48374-1211 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Farley | Family Medicine | Primecare On Wixom Pllc | 27250 Wixom Rd A, Novi, MI 48374-1116 |
| Eric A Tomei | Physical Therapy | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Jessica L Wentworth | Nurse Practitioner | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Michael P Montico | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Mohomad Al Sawah | Podiatry | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Marc A Borovoy | Podiatry | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Linda S Greenwood | Physician Assistant | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Gregory M Cibor | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Mark K Banno | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Teniesha Nicole Wright Jones | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Find all physicians in zip 48374 | |||
| City | NOVI |
| Zip Code | 48374 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NOVI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Amy R 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.