Peter M. Shepard, MD
Peter M. Shepard, MD is an Otolaryngology in Los Alamos, New Mexico. Qualified in 2004, 22 years ago. Practices with Central Oregon ENT LLC - Ear Nose Throat and Facial Plastic Surgey, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.
- Years since qualifying
- 22
- Licensed in
- NM
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3917 W Rd Ste 200Los Alamos, NM 87544-5301
Phone: (505) 661-4147
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology/Facial Plastic Surgery Physician (primary) | Taxonomy 207YX0905X · Licence MD2009-0111 (NM) |
|---|
Record details
| NPI number | 1023051232 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 14, 2006 |
| Last updated in NPPES | December 16, 2020 |
| Certification date | December 16, 2020 |
| Mailing address | 1620 N Main St, Spanish Fork, UT 84660-1008 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey — 17 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |