DR. ROSS WILLIAM SHEPHERD MD NPI 1215954771

NPI Information

NPI: 1215954771
Provider Name: DR. ROSS WILLIAM SHEPHERD, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

Address:
1 CHILDRENS PL
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6173
Get Directions

DR. Ross William Shepherd, MD is a pediatric gastroenterology pediatrics in Saint Louis, MO. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Ross William Shepherd, MD NPI is 1215954771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 CHILDRENS PL
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6173
Fax: (314) 454-2412

The enumeration date for this NPI number is 7/17/2006 and was last updated on 1/8/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0206X	Pediatrics	Pediatric Gastroenterology	2000144173	MISSOURI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H23794	MEDICARE UPIN
2	$$$$$$$$$	MEDICAID	ILLINOIS
3	235010381	MEDICARE PIN
4	205020605	MEDICAID	MISSOURI
5	370019043	MEDICARE PIN

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

NPI Synchronization or Removal

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