Provider Demographics
NPI:1568453447
Name:SHEPLER, TODD ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:ROBERT
Last Name:SHEPLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11901 W PARMER LN
Mailing Address - Street 2:400
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7651
Mailing Address - Country:US
Mailing Address - Phone:512-528-1144
Mailing Address - Fax:512-528-1143
Practice Address - Street 1:11901 W PARMER LN
Practice Address - Street 2:400
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7651
Practice Address - Country:US
Practice Address - Phone:512-528-1144
Practice Address - Fax:512-528-1143
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8687207WX0200X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147218501Medicaid
TX147218501Medicaid
TX284915YMGNMedicare PIN