DR. JOHN SHEPHERD SHIELDS


Address: Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: 3367162255

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 5920894 05

Other Providers JOHN SHIELDS

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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

Office Location

Street Address MEDICAL CENTER BLVD
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WINSTON SALEM
Zip Code 27157

Improve Information

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Dataset Information

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.

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