JUSTIN L SHIELDS


Address: 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572
Phone: 6162670800

JUSTIN L SHIELDS (NPI# 1730471368) 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) 1730471368
Entity Type Individual
Full Name JUSTIN L SHIELDS
Credential PA
Practice Address 25 Michigan St Ne Ste 5100
Grand Rapids
MI 49503-2572
Mailing Address 100 Michigan St Ne Mc-845
Grand Rapids
MI 49503-2560
Practice Telephone 6162670800
Practice Fax Number 6162670801
Mailing Telephone 6162670800
Mailing Fax Number 6162670801
Enumeration Date 2011-05-16
Last Update Date 2015-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities
Y 363A00000X Physician Assistant 5601006017 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1730471368 05

Other Providers JUSTIN SHIELDS

NPI Name Taxonomy Address Enumeration
1205247582 Justin Shields Specialist 307 E Ovilla Rd, Suite # 100, Red Oak, TX 75154-3898 2014-05-08
1750571600 Justin Cordell Shields Anesthesiology 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2007-07-26
1972703460 Justin Shields Psychiatry & Neurology Madigan Army Medical Ctr, 9040 A Reid St. Dept of Medicine, Tacoma, WA 98431-0001 2007-07-23
1255359386 Justin L Shields IIi Dermatology 540 Fontaine St, Pensacola, FL 32503-2019 2006-07-17

Office Location

Street Address 25 MICHIGAN ST NE STE 5100
City GRAND RAPIDS
State MI
Zip Code 49503-2572

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871112276 Alexis Meelker Student in an Organized Health Care Education/Training Program 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2020-04-15
1598384620 Craig Matisoff Student in an Organized Health Care Education/Training Program 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2020-04-09
1376171439 Cody Voss Student in an Organized Health Care Education/Training Program 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2020-04-01
1720640741 Chloe Leeann Balanda Family Medicine 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2019-06-29
1235791328 Joel Tyler Wood Family Medicine 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2019-06-28
1114589280 Billy Chu-li Hsu Family Medicine 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2019-06-28
1275983835 Brian Christopher Wilder Family Medicine 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2016-06-15
1477911865 Quiana Scott Nurse Practitioner 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2016-02-01
1215341458 Benjamin Brand Davidson Family Medicine 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2014-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609473198 Rachel M. Graziano Physician Assistant 18 Lowell Ave Ne, Grand Rapids, MI 49503-3760 2020-10-07
1811537269 Joseph Salvatore Giovannucci Physician Assistant 145 Michigan St Ne Ste 2230, Grand Rapids, MI 49503-2562 2020-01-14
1326685686 Mitchell Lebel Physician Assistant 932 Fulton St E Unit 1, Grand Rapids, MI 49503-3565 2019-12-05
1326680331 Emily Wallace Physician Assistant 1661 Philadelphia Ave Se, Grand Rapids, MI 49507-2251 2019-10-10
1124688197 Leeann Marie Kuehn Physician Assistant 218 Warren Ave Se, Grand Rapids, MI 49506-1582 2019-06-20
1770057549 Shelby Elizabeth Hunt Physician Assistant 100 Michigan St Ne # Mc9017, Grand Rapids, MI 49503-2560 2019-01-15
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1174029094 Katrina Ann Brummel Physician Assistant 555 Midtowne St Ne Ste 110, Grand Rapids, MI 49503-5731 2018-03-30
1902312994 Aaron Michaud Physician Assistant 301 Barclay Ave Ne, Grand Rapids, MI 49503 2017-12-28
1538687215 Sonia Nicola Physician Assistant 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 2017-09-01
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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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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