IndividualActive
Jonathan Shepherd, M.D.
NPI 1114048329 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Farmington, CT
Provider details
- NPI number
- 1114048329
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 269626 (MA)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 55313 (CT)
Allopathic & Osteopathic Physicians
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician207VF0040XLicense 269626 (MA)
Allopathic & Osteopathic Physicians
Practice location
263 Farmington Ave
Farmington, CT 06030-8036
Phone: (860) 679-4100
Fax: (860) 679-1064
Approximate (ZIP-level) locationGet directions
Mailing address
263 Farmington Ave
Farmington, CT 06030-8036
Additional practice locations (1)
- 114 Woodland St Dept ofHartford, CT 06105-1208Phone: (860) 714-4595Fax: (860) 714-8008
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.