GARY EDWARD SHIELDS (NPI# 1497228894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497228894 |
| Entity Type | Individual |
| Full Name | GARY EDWARD SHIELDS |
| Practice Address |
614 Cooper Hill Rd Wynantskill NY 12198-2906 |
| Practice Telephone | 5182836500 |
| Practice Fax Number | 5182830524 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
499610 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073535456 | Gary N Shields | Podiatrist | 340 Bantam Rd, Suite 1-b, Litchfield, CT 06759-3318 | 2006-07-24 |
| 1447218565 | Gary Darell Shields | Physical Therapist | 3740 W Chester Pike, Newtown Square, PA 19073-3223 | 2006-05-01 |
| 1396304937 | Gary Shields | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2019-06-07 |
| Street Address |
614 COOPER HILL RD |
| City | WYNANTSKILL |
| State | NY |
| Zip Code | 12198-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265530398 | Donna Elizabeth Hanley | Counselor | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2006-09-20 |
| 1275140873 | Yomecia Dewan Johnston | Licensed Practical Nurse | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2020-09-28 |
| 1447866413 | Antanaya I Wall | Counselor | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2020-09-16 |
| 1619517737 | Lindsey Waring | Social Worker | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2020-01-07 |
| 1063062719 | Kassandra L Babb | Counselor | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2019-09-15 |
| 1811547664 | Meghan Mosch | Student in an Organized Health Care Education/Training Program | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2019-09-13 |
| 1619522786 | Kimberly Russell Rivera | Social Worker | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2019-08-06 |
| 1093368847 | Cheryl Coleman-bickford | Student in an Organized Health Care Education/Training Program | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2019-07-22 |
| 1447816798 | Patricia Jean Manning | Registered Nurse | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2019-05-13 |
| 1104384544 | Michele Guy | Registered Nurse | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255628970 | Stephanie Jill Carbone | Speech-Language Pathologist | 1 East Avenue, Gardner Dickinson School, Wynantskill, NY 12198 | 2011-07-01 |
| 1528381738 | Robert George Welch | Pharmacist | 8 Aeries View Rd, Wynantskill, NY 12198-2625 | 2010-03-03 |
| 1376918524 | Emily Dimura | Speech-Language Pathologist | 548 Snyders Lake Rd, Wynantskill, NY 12198-2733 | 2015-12-13 |
| 1952378390 | Maureen O'brien | Physical Therapist | 15 Ridgewood Dr, Wynantskill, NY 12198-2824 | 2006-03-03 |
| 1295200707 | Alexa Jordyn Ruchel | Student in an Organized Health Care Education/Training Program | 614 Cooper Hill Rd # 219, Wynantskill, NY 12198-2906 | 2018-10-11 |
| 1467556225 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 74 Main Ave, Wynantskill, NY 12198-7541 | 2006-09-12 |
| 1003194143 | Jessica Ashley Haberland | Pharmacist | 40 Main Ave, Hrd-8392, Wynantskill, NY 12198-7541 | 2011-07-22 |
| 1215253646 | Natalie Ruggiero | Pharmacist | 40 Main Ave, Wynantskill, NY 12198-7541 | 2010-04-09 |
| 1619290541 | Gina M Adamo | Pharmacist | 74 Main Ave, Wynantskill, NY 12198-7541 | 2010-03-06 |
| 1043533219 | Maryam Ferrara | Pharmacist | 74 Main Ave, Wynantskill, NY 12198-7541 | 2010-03-02 |
| Find all providers in zip 12198 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184196537 | Charlene Mary Madarassy | Registered Nurse | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802776 | Erin Delgado | Registered Nurse | 2399 N Union Street Ext, Olean, NY 14760-1574 | 2020-05-13 |
| 1811518210 | Janay Jasmine Smalls | Registered Nurse | 430 Irving Ave, Syracuse, NY 13210-2343 | 2020-04-27 |
| 1265061741 | Shaniqua Charisse Hunter | Registered Nurse | 7 Lawrence Dr Apt D, White Plains, NY 10603-1348 | 2020-04-06 |
| 1780229401 | Sherly Mammen | Registered Nurse | 90 Birchwood Dr, New Hyde Park, NY 11040-3742 | 2019-11-18 |
| 1972148641 | Sam Mathew | Registered Nurse | 8251 251st St, Bellerose, NY 11426-2527 | 2019-11-17 |
| 1568005171 | Anchala Thykkoottathil Joy | Registered Nurse | 119 Terrace Ave, Elmont, NY 11003-1738 | 2019-10-26 |
| 1558853408 | Afolabi O Adegbite | Registered Nurse | 402 Screvin Ave, Bronx, NY 10473-1810 | 2018-06-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1861922189 | Tara Relation | Registered Nurse | 574 N Star Rd, Mooers, NY 12958-3617 | 2017-06-19 |
| 1326578881 | Corrinne Marie Corrado | Registered Nurse | 32 Douglaston Dr, Plattsburgh, NY 12901-4927 | 2017-06-18 |
| Find all providers with the same taxonomy | ||||
| City | WYNANTSKILL |
| Zip Code | 12198 |
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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.