DR. JOHN SHEPHERD SHIELDS (NPI# 1245410497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245410497 |
| Entity Type | Individual |
| Full Name | DR. JOHN SHEPHERD SHIELDS |
| Credential | M.D. |
| Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
Po Box 602658 Charlotte NC 28260-2658 |
| Practice Telephone | 3367162255 |
| Practice Fax Number | 3367168018 |
| Mailing Telephone | 3367162255 |
| Mailing Fax Number | 3367168018 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2012-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
2011-00100 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5920894 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013229418 | John Michael Shields | Optometrist | 2800 Leechburg Rd, Lower Burrell, PA 15068-2527 | 2010-07-14 |
| 1770768194 | John Alfred Shields | Surgery | 20 Bridgestone Park, Nashville, TN 37214-2471 | 2008-01-03 |
| 1225159817 | John J Shields | Massage Therapist | 14 Queens Dr, Cheektowaga, NY 14225-1716 | 2007-04-02 |
| 1801950142 | John Daniel Shields | Specialist/Technologist | 2890 Mcalpin Rd, Midlothian, TX 76065-5716 | 2006-12-21 |
| 1295363109 | John F Shields | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-03-28 |
| 1962066282 | John Shields | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2019-04-23 |
| 1548504285 | John Montgomery Shields II | Physical Therapy Assistant | 116 Lane Dr, Trinity, NC 27370-9343 | 2012-11-19 |
| 1568773836 | John Anthony Shields | Counselor | 10350 E Dakota Ave, Ste B, Denver, CO 80247-1314 | 2010-07-01 |
| 1699091199 | John Martin Shields | Urology | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2010-04-09 |
| 1306040563 | John J Shields | Counselor | 704 Mill St., Loyalton, CA 96118-0265 | 2007-06-12 |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
| 1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
| 1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
| 1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
| 1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
| 1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
| 1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
| 1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
| 1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
| 1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073823472 | Muthana A Al-rayyan | Orthopaedic Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-10-19 |
| 1528202074 | Maxwell Kenneth Langfitt | Orthopaedic Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164739967 | Robert Marc Jung | Orthopaedic Surgery | 1032 Pirates Way, Manteo, NC 27954-9466 | 2010-09-01 |
| 1487645990 | Anthony A Mcpherron | Orthopaedic Surgery | 80 Healthcare Dr Ste 203, Sylva, NC 28779-5146 | 2005-11-03 |
| 1427043355 | Orthocarolina, Pa | Orthopaedic Surgery | 19620 W Catawba Ave, Ste 202, Cornelius, NC 28031-4052 | 2005-09-16 |
| 1366753741 | Firsthealth of The Carolinas, Inc | Orthopaedic Surgery | 804 S Long Dr, Suite K, Rockingham, NC 28379-4318 | 2010-06-30 |
| 1578881272 | Dang-khoa Vo | Orthopaedic Surgery | 1144 N Road St, Sentara Albemarle Medical Center, Elizabeth City, NC 27909-3473 | 2010-05-06 |
| 1730404062 | James Ryan Macdonell Iv | Orthopaedic Surgery | 310 Long Shoals Rd, Arden, NC 28704-8794 | 2010-03-30 |
| 1912134537 | Total Joint Care Pa | Orthopaedic Surgery | 570 New Waverly Pl, Suite 130, Cary, NC 27518-7405 | 2009-06-22 |
| 1801022520 | Thorsten Markus Seyler | Orthopaedic Surgery | 4709 Creekstone Dr, Durham, NC 27703-9822 | 2009-06-09 |
| 1205057577 | Daniel John Delgaizo | Orthopaedic Surgery | 102 Mason Farm Rd, Chapel Hill, NC 27514 | 2007-05-02 |
| 1801814496 | Orthocarolina, Pa | Orthopaedic Surgery | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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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.