JEANNE PRUSA SHEPHERD MD - NPI 1689741563 - Otolaryngology in Fontana, CA

Q: What is Jeanne Shepherd's NPI number?

The NPI number for Jeanne Shepherd is 1689741563. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Jeanne Shepherd's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Jeanne Shepherd was last updated on September 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jeanne Prusa Shepherd Md NPPES

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

JEANNE PRUSA SHEPHERD MD (NPI 1689741563) is an individual plastic surgery within the head & neck provider in Fontana, California, licensed in California (G60529) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1689741563

Entity TypeIndividualFemale

Primary Taxonomy207YX0007X

Provider Legal NameJEANNE PRUSA SHEPHERDCredential: MD

Location Address9961 SIERRA AVEFontana, CA 92335-6720

Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-3910

Phone(909) 427-3910

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateSeptember 23, 2008

✔ NPI 1689741563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in CA · G60529

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

9961 SIERRA AVE, Fontana, CA 92335

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Other Providers at the Same Location NPPES 20

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

SHEILA ANN VANALLEN PT

Physical Therapist

9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335

San Bernardino County (909) 427-7727

MR. JAMES DAVID KILLEEN III M.D.

Pediatrics

9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335

San Bernardino County (909) 427-6960

MR. DHIRESH N PATEL RPH

Pharmacist