MR. JOHN JOSEPH SHEPPARD PA-C
NPI 1386981090
Physician Assistant - Medical in Wading River, NY

Q: What is John Sheppard's NPI number?

The NPI number for John Sheppard is 1386981090. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Q: What is John Sheppard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for John Sheppard was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 15, 2013

42 DEANE ST, WADING RIVER, NY 11792(631) 456-9748 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. John Joseph Sheppard Pa-c NPPES

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

MR. JOHN JOSEPH SHEPPARD PA-C (NPI 1386981090) is an individual medical provider in Wading River, New York, licensed in New York (016308-1) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1386981090

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JOHN JOSEPH SHEPPARDCredential: PA-C

Location Address42 DEANE STWading River, NY 11792-1805

Mailing Address42 Deane StWading River, NY 11792-1805 · (631) 456-9748

Phone(631) 456-9748

Sole ProprietorYes

Enumeration DateJanuary 15, 2013

✔ NPI 1386981090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 016308-1

42 DEANE ST, Wading River, NY 11792

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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 John Sheppard's NPI number?

The NPI number for John Sheppard is 1386981090. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is John Sheppard located?

John Sheppard practices at 42 Deane St, Wading River, NY 11792. The listed phone number is (631) 456-9748.

What is John Sheppard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for John Sheppard was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.