DR SCOTT L SHIELDS PC (NPI# 1194848606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194848606 |
| Entity Type | Organization |
| Organization Name | DR SCOTT L SHIELDS PC |
| Other Organization Name | TOTAL FOOT & ANKLE |
| Practice Address |
524 N Van Buren Enid OK 73703-4455 |
| Practice Telephone | 5802373338 |
| Practice Fax Number | 5802373399 |
| Mailing Telephone | 5802373338 |
| Mailing Fax Number | 5802373399 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | DR. SCOTT LAMAR SHIELDS (PODIATRIST) |
| Authorized Official Telephone | 5802373338 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 189 | OK | Suppliers |
| Y | 213E00000X | Podiatrist | 189 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100779730A | 05 | |
| OK | GROUP NPI | 1194848606 | 01 |
| OK | PERSONAL NPI NUMBER | 1437133436 | 01 |
| OK | U.S. DEPT. OF LABOR | 175470500 | 01 |
| OK | WORKERS COMP. | 1754470500 | 01 |
| OK | STATE DEA | BS3585582 | 01 |
| OK | MEDICAID DME | 200129000A | 01 |
| OK | 242801356 | 05 | |
| OK | MEDICARE GRP MEMBER PTAN | 243726302 | 01 |
| OK | CAQH | 10885619 | 01 |
| OK | BLUE CROSS BLUE SHIELD | 248801356001 | 01 |
| OK | STATE LICENSURE | OK 189 | 01 |
| OK | RAILROAD MEDICARE | 4800337242 | 01 |
| Other Name | Type Code |
|---|---|
| Total Foot & Ankle | Other Name - Individual/Organization |
| Street Address |
524 N VAN BUREN |
| City | ENID |
| State | OK |
| Zip Code | 73703-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437133436 | Scott Lamar Shields | Podiatrist | 524 N Van Buren, Enid, OK 73703-4455 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| Find all providers in zip 73703 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831951 | Michael Hugh Martin | Podiatrist | 2501 N Van Buren St, Enid, OK 73703-1711 | 2005-12-07 |
| 1437133436 | Scott Lamar Shields | Podiatrist | 524 N Van Buren, Enid, OK 73703-4455 | 2005-12-02 |
| 1003043423 | James Daniel Stough | Podiatrist | 314 E Owen K Garriott Rd, Enid, OK 73701-5712 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235921 | Integrity Diabetic Shoes, Inc | Podiatrist | 117 N Garfield Ave, Sand Springs, OK 74063-7214 | 2020-08-14 |
| 1760949499 | Tushka Corp | Podiatrist | 2609 Highwood Pl, Claremore, OK 74017-4884 | 2019-02-28 |
| 1619475696 | Tulsa Podiatry Clinics LLC | Podiatrist | 416 W 15th St Ste 500c, Edmond, OK 73013-3672 | 2018-01-25 |
| 1518327089 | Mathew James Johnstone | Podiatrist | 1000 N Lincoln Blvd Ste 3400, Oklahoma City, OK 73104-3252 | 2016-02-26 |
| 1639438237 | Jason A. Lashley, D.p.m. | Podiatrist | 600 W. 15th, Edmond, OK 73013 | 2012-05-16 |
| 1073871265 | Benjamin Beecher Harkess | Podiatrist | 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 | 2012-04-25 |
| 1871863258 | Oklahoma Senior Podiatry Services, P.C. | Podiatrist | 3208 Brush Creek Rd., Oklahoma City, OK 73120-1852 | 2012-01-03 |
| 1437488384 | Edgar Paul Ledoux | Podiatrist | 215 E Choctaw, Ste 105, Mcalester, OK 74501 | 2009-12-23 |
| 1629305149 | Greater Tulsa Foot & Ankle Center, Pllc | Podiatrist | 3540 E. 31st Street, Suite 2, Greater Tulsa Foot & Ankle Center, Pllc, Tulsa, OK 74135 | 2009-11-04 |
| 1710154471 | Jeremy M Mason | Podiatrist | 5711 E 71 St, # 115, Tulsa, OK 74136 | 2008-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.