DR. JOHN MARTIN SHIELDS (NPI# 1699091199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699091199 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARTIN SHIELDS |
| Credential | M.D. |
| Practice Address |
451 Clarkson Ave Brooklyn NY 11203-2054 |
| Mailing Address |
451 Clarkson Ave Bldg 9th Brooklyn NY 11203-2054 |
| Practice Telephone | 7182454110 |
| Practice Fax Number | 7182453592 |
| Mailing Telephone | 7182454110 |
| Mailing Fax Number | 7182453592 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 286086 | NY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | ME128662 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018424500 | 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 |
| 1245410497 | John Shepherd Shields | Orthopaedic Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-11-05 |
| 1306040563 | John J Shields | Counselor | 704 Mill St., Loyalton, CA 96118-0265 | 2007-06-12 |
| Street Address |
451 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004894 | Gabriel Terbancea | Anesthesiology | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2005-06-24 |
| 1306445200 | Robert Jonathan Ho | Physician Assistant | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-10-21 |
| 1790383347 | Cereka Smith | Registered Nurse | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-10-15 |
| 1407454143 | Dacia Abbidemi Bryant | Pharmacist | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-10-14 |
| 1245842939 | Dennies Olivia Greenidge | Nurse Practitioner | 451 Clarkson Ave, Brooklyn, NY 11203-2097 | 2020-08-23 |
| 1720699408 | Jalisa Saud | Nurse Practitioner | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-08-14 |
| 1518578483 | Caroline Elizabeth Burek | Dance Therapist | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-08-13 |
| 1700400793 | Freda Safiev | Nurse Practitioner | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-06-04 |
| 1154945590 | Daniel Augustine Walsh IIi | Art Therapist | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-06-01 |
| 1457974214 | Kevin Son | Student in an Organized Health Care Education/Training Program | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1174951602 | Alex Shteynshlyuger Md PC | Urology | 35 Seacoast Ter Apt 20p, Brooklyn, NY 11235-6005 | 2013-10-18 |
| 1396171542 | Igor Sergeyev, M.d., P.C. | Urology | 9101 4th Ave Ste 2f, Brooklyn, NY 11209-6369 | 2013-09-19 |
| 1255685582 | Hamilton Medical Surgicare Pllc | Urology | 4720 Fort Hamilton Pkwy, Brooklyn, NY 11219-2956 | 2012-11-08 |
| 1922379353 | Eric J. Moskowitz | Urology | 3131 Kings Hwy Ste Ll-789, Brooklyn, NY 11234 | 2012-01-17 |
| 1598064966 | Metropolitan Urological Specialists, PC | Urology | 2060 Utica Ave, Brooklyn, NY 11234-3216 | 2011-03-24 |
| 1407182389 | Jb Wynberg Md PC | Urology | 1853 61st St, Brooklyn, NY 11204-2353 | 2009-10-27 |
| 1518290188 | Marc Alan Lubin | Urology | 745 64th St, 4th Flr, Brooklyn, NY 11220-4753 | 2009-09-14 |
| 1750556403 | S. Swamy Surasi, Mdpc | Urology | 142 Joralemon St Ste 9b, Brooklyn, Brooklyn, NY 11201-4709 | 2008-04-24 |
| Find all providers in BROOKLYN | ||||
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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.