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NPI Code Detail

MEDICARE: DR. REES W SHEPPARD M.D.

MEDICARE: DR. REES W SHEPPARD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician35.028398OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3180021890OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811999071
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REES W SHEPPARD M.D.
Provider Business Mailing Address
First Line : PO BOX 631662
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-1662
Country : US
Telephone Number : 859-581-7120
Fax Number : 859-581-7207
Provider Business Practice Location Address
First Line : 7815 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-4207
Country : US
Telephone Number : 513-388-4000
Fax Number : 513-388-4007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/28/2014

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