Dr. Martin Shepard , MD
General Practice • Sag Harbor, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Martin Shepard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Martin Shepard, MD was a registered General Practice practicing in Sag Harbor, NY. Throughout an active medical career spanning 8 years, Dr. Shepard provided care at the practice location at 4170 NOYAC RD until profile deactivation on 2021-02-02.
Practice Location & Contact Primary Location
4170 Noyac Rd
Sag Harbor, NY 119632809
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Sag Harbor, NY
Practicing in Sag Harbor, NY (818 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 02, 2021
NPI status registered as active in NPPES database
Registered at 4170 NOYAC RD, SAG HARBOR, NY 119632809 (Tel: 6317259879)
Registered at 4170 NOYAC RD, SAG HARBOR, NY 119632809 (Tel: 6317251101)
Recorded as MARTIN SHEPARD, M.D.
General Practice (License #086289-1 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4170 Noyac Rd
Sag Harbor, NY 119632809
Phone: 6317251101
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