Individual provider · Type 1 NPI

Austin Shepard

Physician Assistant · Fort Wayne, IN

NPI number 1194595090 Active

Practice location

3946 Ice Way
Fort Wayne, IN 46805-1018

Call (260) 266-4007 Map

Fax (260) 266-4008

Mailing address

7910 W Jefferson Blvd Ste 102
Fort Wayne, IN 46804-4159

Other practice locations

  • 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 · (260) 435-7001

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10004311A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194595090

Austin Shepard's National Provider Identifier is 1194595090, issued on Jan 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 18, 2026.