JOHN CAMP SHEPHERD MD NPI 1811985070

NPI Information

NPI: 1811985070
Provider Name: JOHN CAMP SHEPHERD, MD
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
2000 W SOUTH BOULDER RD
LAFAYETTE, CO
ZIP 80026
Phone: (303) 665-9310
Get Directions

John Camp Shepherd, MD is a geriatric medicine family medicine in Lafayette, CO. The provider is a family medicine physician with 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. John Camp Shepherd, MD NPI is 1811985070. 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:

2000 W SOUTH BOULDER RD
LAFAYETTE, CO
ZIP 80026-389
Phone: (303) 665-9310

The enumeration date for this NPI number is 10/12/2005 and was last updated on 7/17/2013.

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	207QG0300X	Family Medicine	Geriatric Medicine	23339	COLORADO	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	Other Provider Identifier Issuer
1	CE2468	MEDICARE PIN
2	D24262	MEDICARE UPIN
3	01233394	MEDICAID	COLORADO
4	AS2120967	OTHER		DEA

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

NPI Synchronization or Removal

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