Doctor profile · Federal record
Dr. Samuel Shepard
Student in an Organized Health Care Education/Training Program · Dayton, OH
- NPI 1730842840
- 5 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
405 W Grand Ave
Dayton, OH 454057538
(937) 723-3200 - Mailing address
-
1111 W 17Th St
Tulsa, OK 741071886
Credentials & registration
- NPI registered
- October 2021 — 5 yrs on file
- Profile last updated
- March 19, 2024
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730842840. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$66
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Legacy Ortho LLC | 2 | $66.17 |
By nature of payment
Frequently asked questions
What is Dr. Samuel Shepard's medical specialty?
Dr. Samuel Shepard practices Student in an Organized Health Care Education/Training Program in Dayton, OH.
Where does Dr. Samuel Shepard practice?
Dr. Samuel Shepard practices at 405 W Grand Ave, Dayton, OH 454057538. Office phone: 9377233200.
What is Dr. Samuel Shepard's NPI?
Dr. Samuel Shepard's National Provider Identifier (NPI) is 1730842840, issued by NPPES.