PAUL EUGENE SHIELDS


Address: 2501 W 12th St, Suite 1, Erie, PA 16505-4527
Phone: 8148061144

PAUL EUGENE SHIELDS (NPI# 1508861949) 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) 1508861949
Entity Type Individual
Full Name PAUL EUGENE SHIELDS
Credential DO
Practice Address 2501 W 12th St
Suite 1
Erie
PA 16505-4527
Mailing Address 397 Churchill Hubbard Rd
Youngstown
OH 44505-1375
Practice Telephone 8148061144
Practice Fax Number 8148330659
Mailing Telephone 3307596750
Mailing Fax Number 3307596755
Enumeration Date 2005-06-14
Last Update Date 2019-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine OS010676L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA HIGHMARK BCBS 001370726 01
PA 0018397920004 05
NY 03446839 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
705 Maple Rd, Williamsville, NY 142213291 7166318400

Other Providers PAUL SHIELDS

NPI Name Taxonomy Address Enumeration
1972611887 Paul Keith Shields Counselor 1723 S Boston Ave, Tulsa, OK 74119-4809 2006-08-29
1689737967 Paul J Shields Internal Medicine 400 8th St N, Naples, FL 34102-5519 2006-12-18

Office Location

Street Address 2501 W 12TH ST
SUITE 1
City ERIE
State PA
Zip Code 16505-4527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457847998 Tatum Marucci Nurse Practitioner 2501 W 12th St, Erie, PA 16505-4527 2018-07-09
1295102390 Saint Vincent Medical Education and Research Institute Inc. Obstetrics & Gynecology 2501 W 12th St, Suite 10, Erie, PA 16505-4527 2015-08-25
1427437896 Jennifer Potthoff Dietitian, Registered 2501 W 12th St, Erie, PA 16505-4527 2015-05-19
1770904765 Saint Vincent Imaging Center At Yorktown General Acute Care Hospital 2501 W 12th St, Erie, PA 16505-4527 2013-12-18
1538594197 Allegheny Clinic Obstetrics & Gynecology 2501 W 12th St, Suite 10, Erie, PA 16505-4527 2013-09-13
1427398031 Physician Landing Zone,p.c Obstetrics & Gynecology 2501 W 12th St, Ste 10, Erie, PA 16505-4527 2013-02-19
1043503253 Geoffrey D Betz Family Medicine 2501 W 12th St, Erie, PA 16505-4527 2011-05-20
1598057424 Kelli K Desanctis Family Medicine 2501 W 12th St, Erie, PA 16505-4527 2011-05-11
1366741795 St Vincent Medical Education and Research Institute Inc Family Medicine 2501 W 12th St, Erie, PA 16505-4527 2011-03-24
1306075148 Feras Alkhudari Pediatrics 2501 W 12th St, Erie, PA 16505-4527 2009-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790275634 Megan Elizabeth Rahill Registered Nurse 610 Seminole Dr, Erie, PA 16505 2018-05-16
1740784222 Tracy Zong Cheng Student in an Organized Health Care Education/Training Program 1645 W 8th Street, Suite 200, Erie, PA 16505 2018-03-20
1073067724 Epeople Health Care Inc Home Health 2133 W 8th St, Erie, PA 16505 2016-08-11
1629424411 Kimberly Roderick Registered Nurse 1324 S. Shore Drive Apt. G07, Erie, PA 16505 2016-05-11
1437516432 April Vogeley Counselor 1004 Farrell Road, Erie, PA 16505 2016-01-21
1538563499 Laurence William Veihdeffer Dentist 2021 W 8 St., Erie, PA 16505 2014-10-21
1255617908 Shannon Renee Luke Licensed Practical Nurse 1416 Custer Dr., Erie, PA 16505 2011-10-26
1699904227 William Jackson Koehler Social Worker 2230 W 8th St Ste 2, Erie, PA 16505 2009-07-02
1972747657 Kristen Marie Huber Counselor 823 Filmore Ave, Erie, PA 16505 2009-04-27
1851556351 Stephanie Lynn Miller Technician, Other 2564 West 12th St., Erie, PA 16505 2008-07-23
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922638642 Tom Root Miller II Family Medicine 35 Niagara Pier, Erie, PA 16507-2312 2020-01-22
1730609041 Michael Greg Palmer Family Medicine 311 West 24th Street 4th Floor, Erie, PA 16502 2017-06-27
1528422870 Jessica Jean Partlow Family Medicine 311 W 24th St Fl 4, Erie, PA 16502-2665 2016-04-12
1407253859 Dr Natalie Teygart PC Family Medicine 939 West 38th St, Erie, PA 16508 2014-12-01
1114350808 Bruce W Baldwin Family Medicine 5704 Brewster Ln, Erie, PA 16505-1110 2013-08-16
1477994689 Joshua Yates Taylor Family Medicine 101 Erie Pkwy, Ste 201c, Erie, CO 80516-4072 2013-07-16
1629413257 Amina Yasser Family Medicine 2314 Sassafras St Fl 2, Erie, PA 16502-2722 2013-05-09
1811258122 Sandy Tapuyao Clemente Family Medicine 3822 Colonial Ave Ste C, Erie, PA 16506-3826 2012-06-04
1730470204 Thomas Leo Obenreder Family Medicine 3232 Hannon Rd, Erie, PA 16510-4450 2011-05-02
1417247123 Medical Associates of Erie Family Medicine 3435 W Lake Rd, Erie, PA 16505-3661 2011-04-14
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Competitor

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City ERIE
Zip Code 16505

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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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