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MARK DEVIN SHEPHERD NPI 1376559880


NPI Information

NPI: 1376559880
Provider Name: MARK DEVIN SHEPHERD

Other Name: ENDOCRINOLOGY CONSULTANTS, PLLC

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
670 CROSSOVER RD
TUPELO, MS
ZIP 38801
Phone: (662) 844-8414
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MARK DEVIN SHEPHERD is an endocrinology and diabetes and metabolism internal medicine in Tupelo, MS. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MARK DEVIN SHEPHERD NPI is 1376559880. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Endocrinology Consultants, Pllc.

The provider's business location address is:

670 CROSSOVER RD
TUPELO, MS
ZIP 38801-944
Phone: (662) 844-8414
Fax: (662) 844-8275

The provider's authorized official is Mark D Shepherd .
The authorized official title is Director and has the following contact phone number (662) 844-8414.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 11/28/2007.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMISSISSIPPIYes

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
109778731MEDICAIDMISSISSIPPI
2C02812MEDICARE PINMISSISSIPPI
3CH0754OTHERMISSISSIPPIRAILROAD MEDICARE GROUP #

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: 11/14/2023

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