Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT ALLEN SHAPPARD SR., DO
ActiveFamily Medicine · BOISE, ID
Registration Details
- NPI Number
- 1649275587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (20.847215461937 yrs)
- Last Updated
- Nov 15, 2016
- Licenses
-
O292 (ID)O-292 (ID)
Practice Information
- Address
-
10255 W. OVERLAND RDBOISE, ID, 837091430Browse ID providers · Browse ZIP 83709
- Phone
- 2083025600
- Fax
- 2083025655
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY KARL EDWARDS | MD | 1578566253 |
| STEPHEN C MARTINEZ | MD | 1154362804 |
| DR. RONALD SCOTT HIGGINBOTHAM | D.O. | 1760486138 |
| DR. DONALD DAVID HARTMAN SR. | MD | 1588669410 |
| MS. LOIS R. NISKA | DO | 1922004878 |
| MS. MOUSOOMI M. SUR | MD | 1518968841 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.