Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William R Shepard, DO

Individual provider Surgery Physician · NPI 1427310895

William R Shepard, DO is a General Surgery in South Lake Tahoe, California. Qualified in 2012, 14 years ago. Practices with Barton Medical Foundation, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
14
Licensed in
CA, NV
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1139 3rd St
South Lake Tahoe, CA 96150
Phone: (530) 543-5691
Fax: (530) 542-2872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 — (503) 413-7557

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 20A16448 (CA)
Surgery Physician Taxonomy 208600000X · Licence DO2454 (NV)

Record details

NPI number1427310895
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2012
Last updated in NPPESAugust 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Barton Medical Foundation — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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