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SHEPHERD CLINIC PLC
NPI 1235184037
Family Medicine in Shepherd, MI

Active since May 23, 2006CLIA 23D0702519 · Waiver
217 W WRIGHT AVE, SHEPHERD, MI 48883(989) 828-6691 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shepherd Clinic Plc NPPES

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

SHEPHERD CLINIC PLC (NPI 1235184037) is a healthcare organization registered as a family medicine in Shepherd, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kurt Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1235184037
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHEPHERD CLINIC PLC
Location Address217 W WRIGHT AVEShepherd, MI 48883-2502
Mailing Address217 W Wright AveShepherd, MI 48883-2502 · (989) 828-6691
Phone(989) 828-6691
Organization SubpartNo
Authorized OfficialKurt AndersonOwner · (989) 828-6691
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 28, 2007
✔ NPI 1235184037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101008087
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
217 W WRIGHT AVE, Shepherd, MI 48883
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Other Identifiers 5

Medicaid1437698MI
Medicaid4920501MI
Medicare UPINE26225MI
Medicare UPINQ75016MI
Medicare PIN0P39930MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0702519

Shepherd Clinic · Shepherd, MI
Active · expires Aug 31, 2026
CLIA Number23D0702519
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRobert C. Reichmann
Laboratory Phone(989) 828-6691
Laboratory LocationShepherd Clinic364 W Wright Avenue, Shepherd, MI 48883
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shepherd Clinic Plc's NPI number?

The NPI number for Shepherd Clinic Plc is 1235184037. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Shepherd Clinic Plc located?

Shepherd Clinic Plc is located at 217 W Wright Ave, Shepherd, MI 48883. The listed phone number is (989) 828-6691.

What is Shepherd Clinic Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shepherd Clinic Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0702519) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shepherd Clinic Plc was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.