Suzanne Marie Shepherd (NPI# 1104072974, PAC ID# 5193857506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1104072974 |
| PAC ID by PECOS | 5193857506 |
| Professional Enrollment ID | I20170818001007 |
| Full Name | Suzanne Marie Shepherd |
| Organization Legal Name | FORT COLLINS RADIOLOGIC ASSOCIATES PC |
| Address |
1024 S Lemay Ave Advanced Medical Imaging Consultants PC Fort Collins CO 80524-3929 |
| Phone Number | 9704957000 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7315844396 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060119 | MEDICAL CENTER OF THE ROCKIES |
| 060131 | |
| 060010 | POUDRE VALLEY HOSPITAL |
| 530025 | IVINSON MEMORIAL HOSPITAL |
| 060128 | LONGS PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 | 9704957000 | FORT COLLINS RADIOLOGIC ASSOCIATES PC |
| 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 9706242500 | FORT COLLINS RADIOLOGIC ASSOCIATES PC |
| Organization Legal Name | FORT COLLINS RADIOLOGIC ASSOCIATES PC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Leigh Larson | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Marjorie M Wiedeman | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Karl Edward Magsamen | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Kevin J Limbaugh | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Isaac Stirling Jones | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Winfield M Craven | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Thomas Patrick Sullivan | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Kenneth Klouda Cicuto | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Jason Paul Doye | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Maria Wurster Tucker | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Street Address |
1024 S LEMAY AVE ADVANCED MEDICAL IMAGING CONSULTANTS PC |
| City | FORT COLLINS |
| State | CO |
| Zip | 80524-3929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Leigh Larson | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Lindsay Siebenaler | Certified Registered Nurse Anesthetist (crna) | Northern Colorado Anesthesia Professionals Pllc | 1024 S Lemay Ave, Ncap Pllc, Fort Collins, CO 80524-3929 |
| Marjorie M Wiedeman | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Alana Faith Tutt | Certified Registered Nurse Anesthetist (crna) | Northern Colorado Anesthesia Professionals Pllc | 1024 S Lemay Ave, Ncap Pllc, Fort Collins, CO 80524-3929 |
| Bryan Kenneth Beck | Emergency Medicine | Emergency Physicians of The Rockies, PC | 1024 S Lemay Ave, Poudre Valley Hospital, Fort Collins, CO 80524-3929 |
| Michael Perry | Cardiovascular Disease (cardiology) | Poudre Valley Medical Group LLC | 1024 S Lemay Ave, Uchmg Palliative Care, Fort Collins, CO 80524-3929 |
| Richard Christopher Elmore | Certified Registered Nurse Anesthetist (crna) | Northern Colorado Anesthesia Professionals Pllc | 1024 S Lemay Ave, Ncap Pllc, Fort Collins, CO 80524-3929 |
| Karl Edward Magsamen | Diagnostic Radiology | Fort Collins Radiologic Associates PC | 1024 S Lemay Ave, Advanced Medical Imaging Consultants PC, Fort Collins, CO 80524-3929 |
| Dwain D Watrous | Anesthesiology | Northern Colorado Anesthesia Professionals Pllc | 1024 S Lemay Ave, Ncap Pllc, Fort Collins, CO 80524-3929 |
| Jennifer Woelk | Hospitalist | Northern Colorado Hospitalists Professional LLC | 1024 S Lemay Ave, Poudre Valley Hospital, Fort Collins, CO 80524-3929 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Traci Wilke | Physician Assistant | Dermatology of Northern Colorado P.C. | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80524 |
| Renee T Dutcher | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Stephanie J Speetzen | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Lori Jean Croft | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Allison Margaret Oleary Williams | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Amy Jeanne Hartley | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Lindsay B Wilson | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Carole Way | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Chelsea N Andrews | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Charles L Miller | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Find all physicians in zip 80524 | |||
| City | FORT COLLINS |
| Zip Code | 80524 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORT COLLINS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Suzanne Marie Shepherd.
| 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.