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MILTON W. SHEPPERD DO PA NPI 1629149810


NPI Information

NPI: 1629149810
Provider Name: MILTON W. SHEPPERD, DO, PA
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
113 BROADMOOR ST
MEADOWLAKES, TX
ZIP 78654
Phone: (830) 693-1792
Get Directions

MILTON W. SHEPPERD, DO, PA is a geriatric medicine internal medicine in Meadowlakes, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MILTON W. SHEPPERD, DO, PA NPI is 1629149810. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

113 BROADMOOR ST
MEADOWLAKES, TX
ZIP 78654-601
Phone: (830) 693-1792
Fax: (830) 693-1685

The provider's authorized official is Milton Wirtz Shepperd .
The authorized official title is President and has the following contact phone number (830) 693-1792.

The enumeration date for this NPI number is 11/11/2006 and was last updated on 5/5/2009.


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
1207R00000XInternal MedicineJ6722TEXASNo
2207RG0300XInternal MedicineGeriatric MedicineJ6722TEXASYes

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 Other Provider Identifier Issuer
1DG9173OTHERTEXASRAILROAD MEDICARE
20068AAOTHERTEXASBLUE CROSS BLUE SHIELD
300417ZMEDICARE ID-TYPE UNSPECIFIEDTEXAS
400370ZMEDICARE ID-TYPE UNSPECIFIEDTEXAS
5176966301MEDICAIDTEXAS
6176966302MEDICAIDTEXAS

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: 5/5/2024

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