SIMEON SHEPARD
NPI 1013434398
Specialist/Technologist, Other - Surgical Assistant in Odessa, FL

Active since August 28, 2017
13238 ROYAL GEORGE AVE, ODESSA, FL 33556(386) 566-1949 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017 (2 updates tracked since 2017).

About Simeon Shepard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMEON SHEPARD (NPI 1013434398) is an individual surgical assistant in Odessa, Florida, licensed in Florida (119725) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1013434398
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameSIMEON SHEPARD
Location Address13238 ROYAL GEORGE AVEOdessa, FL 33556
Mailing Address13238 Royal George AveOdessa, FL 33556-5724 · (386) 566-1949
Sole ProprietorYes
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1013434398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed in FL · 119725
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
13238 ROYAL GEORGE AVE, Odessa, FL 33556

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
13238 ROYAL GEORGE AVE
ODESSA, FL 33556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simeon Shepard's NPI number?

The NPI number for Simeon Shepard is 1013434398. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Simeon Shepard located?

Simeon Shepard practices at 13238 Royal George Ave, Odessa, FL 33556. The listed phone number is (386) 566-1949.

What is Simeon Shepard's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Simeon Shepard was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.