Provider Type Icon

DR. JAMES B SHEPHERD MD NPI 1558389015


NPI Information

NPI: 1558389015
Provider Name: DR. JAMES B SHEPHERD, MD
Classification: Ophthalmology - 207WX0109X
Entity Type: Individual

Specialization: Neuro-ophthalmology

PECOS Registration: Yes

Address:
4901 FOREST PARK AVE
DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 362-3937
Get Directions

DR. James B Shepherd, MD is a neuro-ophthalmology ophthalmology in Saint Louis, MO with 27 years of experience. The provider is a neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. DR. James B Shepherd, MD NPI is 1558389015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1997

The provider's business location address is:

4901 FOREST PARK AVE
DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 362-3937
Fax: (314) 362-3725

The NPI 1558389015 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 7/17/2006 and was last updated on 4/25/2024.


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
1207WX0109XOphthalmologyNeuro-ophthalmology2001027205MISSOURIYes

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
1205689706MEDICAIDMISSOURI

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.