DR. GEORGE SHEPARD MD MBA NPI 1174507396

NPI Information

  • NPI: 1174507396
  • Provider Name: DR. GEORGE SHEPARD, MD MBA
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13677 W MCDOWELL RD
    GOODYEAR, AZ
    ZIP 85338
  • Phone: (623) 882-1500

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NPI Details

DR. George Shepard, MD MBA is an emergency medicine in Goodyear, AZ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. George Shepard, MD MBA NPI is 1174507396. 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:

13677 W MCDOWELL RD
GOODYEAR, AZ
ZIP 85338-618
Phone: (623) 882-1500

The NPI 1174507396 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 11/13/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine20925ARIZONAYes

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
1AW1436OTHERARIZONAHEALTHNET GROUP
268551MEDICARE PINARIZONA
3AZ0728670OTHERARIZONABLUE CROSS BLUE SHIELD GR
4F41295MEDICARE UPIN
53981220OTHERARIZONAEVERCARE GROUP
6118861MEDICAIDARIZONA

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: 11/21/2025

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