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DR. JONATHAN PAUL SHEPHERD M.D. NPI 1114048329


NPI Information

NPI: 1114048329
Provider Name: DR. JONATHAN PAUL SHEPHERD, M.D.
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

PECOS Registration: Yes

Address:
263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-4100
Get Directions

DR. Jonathan Paul Shepherd, M.D. is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Farmington, CT with 20 years of experience. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Jonathan Paul Shepherd, M.D. NPI is 1114048329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06030-036
Phone: (860) 679-4100
Fax: (860) 679-1064

The NPI 1114048329 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology55313CONNECTICUTNo
2207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery269626MASSACHUSETTSNo
3207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery55313CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110128968AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.