MEDICARE: DR. STEVEN NEIL SHEPHARD DO, FACOOG

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	207V00000X	Obstetrics & Gynecology Physician	5101016748	MI
2	207VX0000X	Obstetrics Physician	OS17080	FL

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

General Provider Information

NPI Number	:	1942425004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN NEIL SHEPHARD DO, FACOOG

Provider Business Mailing Address
First Line	:	1310 WISCONSIN AVE
Second Line	:	SUITE 103
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-2472
Country	:	US
Telephone Number	:	616-844-4528
Fax Number	:	616-847-5608

Provider Business Practice Location Address
First Line	:	1660 MEDICAL BLVD STE 300
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1497
Country	:	US
Telephone Number	:	239-513-0053
Fax Number	:	239-596-0900

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	04/06/2022

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