SearchOhio101YA0400X

Ethan Shepherd

NPI 1871236687 · on the registry since 2022 · sole proprietor

Practice

Address
1907 11th St
Portsmouth, OH 45662
Phone
(513) 941-4999
Fax
(513) 694-0168
Organisation at this address
Port45 Recovery Llc
Sunrise Treatment Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Additional practice sites

  • 6460 Harrison Ave, Cincinnati, OH
  • 1130 Garbry Rd, Piqua, OH
  • 1718 Central Pkwy, Cincinnati, OH
  • 247 Cic Blvd, West Union, OH
  • 1435 Cincinnati St, Dayton, OH
  • 25 Whitney Dr, Milford, OH
  • 680 Northland Blvd, Cincinnati, OH
  • 160 N Breiel Blvd, Middletown, OH
  • 100 Highview Blvd, Columbus, OH
  • 1421 Parker Ct, Springfield, OH

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YM0800X
101YM0800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio