J WILLIAM SHIELDS (NPI# 1902868110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902868110 |
| Entity Type | Individual |
| Full Name | J WILLIAM SHIELDS |
| Credential | MD |
| Practice Address |
373 White Spruce Blvd Rochester NY 14623-1603 |
| Practice Telephone | 5854245665 |
| Practice Fax Number | 5854241273 |
| Mailing Telephone | 5854245665 |
| Mailing Fax Number | 5854241273 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 130129 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 005239003. | 05 |
| Street Address |
373 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740697689 | Katherine Lees | Otolaryngology | 200 First St Nw, Rochester, MN 55905-0001 | 2014-07-11 |
| 1376960773 | Weitao Wang | Otolaryngology | 601 Elmwood Ave Box 629, Rochester, NY 14642-8629 | 2014-03-24 |
| 1851690283 | Alexis Mary Strohl-bryan | Otolaryngology | 2365 Clinton Ave S Ste 200, Rochester, NY 14618-2663 | 2011-03-24 |
| 1285959130 | Hitomi Sakano | Otolaryngology | 601 Elmwood Ave Rm 1-5039, Rochester, NY 14642 | 2010-04-05 |
| 1962644674 | Glenn Todd Schneider | Otolaryngology | 2365 South Clinton Avenue, Suite 200, Rochester, NY 14618-2663 | 2009-03-26 |
| 1164623633 | Tarek M Siala | Otolaryngology | 2365 South Clinton Ave, Suite 200, Rochester, NY 14618-2663 | 2007-05-30 |
| 1538375910 | Margo M Benoit | Otolaryngology | 2365 S. Clinton Ave, Ste 200, Rochester, NY 14618 | 2007-05-15 |
| 1275668956 | Harry Bryan Neel IIi | Otolaryngology | 828 8th St Sw, Rochester, MN 55902-6310 | 2007-02-22 |
| 1528024874 | Paul Topf | Otolaryngology | 1295 Portland Avenue, Suite 7, Rochester, NY 14621 | 2006-04-25 |
| 1639133044 | John Urban Coniglio | Otolaryngology | 1065 Senator Keating Boulevard, Suite 240, Rochester, NY 14618 | 2006-04-13 |
| Find all providers in ROCHESTER | ||||
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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.