MEDICARE: REBECCA C SHEPARD PA-C

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
1	363AM0700X	Medical Physician Assistant	PA1291	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1922093384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA C SHEPARD PA-C

Provider Business Mailing Address
First Line	:	402 W MORROW RD
Second Line	:
City	:	SAND SPRINGS
State	:	OK
Zip	:	74063-6549
Country	:	US
Telephone Number	:	918-245-1328
Fax Number	:	918-293-3181

Provider Business Practice Location Address
First Line	:	402 W MORROW RD
Second Line	:
City	:	SAND SPRINGS
State	:	OK
Zip	:	74063-6549
Country	:	US
Telephone Number	:	918-245-1328
Fax Number	:	918-293-3181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	01/08/2014

Similar Medicare Providers

1215906227 — CURTIS COGGINS M.D.
Practice Location Address:

402 W MORROW RD , 100
SAND SPRINGS, OK
74063-6549

Practice Phone: 918-245-1328
Practice Fax: 918-293-3181

1396713483 — SHIVRAJPAL GREWAL M.D.
Practice Location Address:

402 W MORROW RD , 100
SAND SPRINGS, OK
74063-6549

Practice Phone: 918-245-2309
Practice Fax: 918-293-3181

1275591547 — DR. WILLIAM MATTHEW JAMES MD
Practice Location Address:

402 W MORROW RD , SUITE 100
SAND SPRINGS, OK
74063-6549

Practice Phone: 918-245-1328
Practice Fax: 918-293-3181

1265516827 — CAROL DIANE WINK PA-C
Practice Location Address:

402 W MORROW RD
SAND SPRINGS, OK
74063-6549

Practice Phone: 918-295-1328
Practice Fax: 918-403-6313

1629565627 — DR. DAVID HERRMANN DO
Practice Location Address:

402 W MORROW RD
SAND SPRINGS, OK
74063-6549

Practice Phone: 918-245-1328
Practice Fax: 918-403-6313

1356775837 — MS. MARY AMANDA WHARTON LICSW
Practice Location Address:

354 GIVENS LN
BERKELEY SPRINGS, WV
25411-6549

Practice Phone: 304-268-4782
Practice Fax:

Directions to “ REBECCA C SHEPARD PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.