Sandra Lauren Shepherd, MD
Family Medicine in Missoula, MT. Individual provider (NPI-1).
NPI number1720171994
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1720171994
- Entity type
- Individual (NPI-1)
- Name
- Sandra Lauren Shepherd
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 11067 | MT | Yes |
| 207V00000X | Obstetrics & Gynecology | 11067 | MT |
Practice location
2825 Fort Missoula Rd Ste 115Missoula, MT 59804-7403
Phone 406-541-9222 · Fax 406-541-9223
Mailing address
2825 Fort Missoula Rd Ste 115Missoula, MT 59804-7403
Phone 406-541-9222 · Fax 406-541-9223
Other practice locations
2835 Fort Missoula Rd
Ste 201 Mountain View Family Medical And Obstetrics
Missoula, MT 59804
Ste 201 Mountain View Family Medical And Obstetrics
Missoula, MT 59804
Phone 406-327-3920 · Fax 406-327-3921
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All 130 Family Medicine Physician providers in Missoula · All 4,716 providers in Missoula
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