Shields and Shields PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SHIELDS AND SHIELDS PC

Practice address

840 Walnut Street
Suite 1440
Philadelphia, PA 19107

Phone

(215) 928-3105

Fax

(215) 928-1140

NPI assigned

Oct 12, 2006

Last updated

Apr 20, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry A Shields, MD

Title

Director

Phone

(215) 928-3105

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara E Lally, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1922295138

  NJ

  Medicare reassignment Care Compare group
• Carol L Shields, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1578652988

  NJ

  Medicare reassignment Care Compare group
• Maria Manquez Hatta, MD

  • Retina Specialist (Ophthalmology) Physician
  • Philadelphia, PA
  • NPI 1386256782
  NPD (past)
• Michele R Piccone, M.D.

  • Ophthalmology Physician
  • Wayne, PA
  • NPI 1023028396
  NPD (past)
• Vaneet Singh, MBBS, MD, FRCOPHTH

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1518748284
  NPD (past)
• Hafedh Akrout, MD

  • Physical Medicine & Rehabilitation Physician
  • Pennsville, NJ
  • NPI 1194735860
  NPD (past)
• Tarak Akrout, MD

  • Physical Medicine & Rehabilitation Physician
  • Pennsville, NJ
  • NPI 1073523742
  NPD (past)
• Geoffrey C Ellington, D.C.

  • Chiropractor
  • Pennsville, NJ
  • NPI 1508910753
  NPD (past)
• Marcellus A Maiatico, MD

  • Physical Medicine & Rehabilitation Physician
  • Pennsville, NJ
  • NPI 1508883695
  NPD (past)
• Brian P Marr, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1376626572
  NPD (past)
• Ahmed Bilal Sheikh, MD

  • Ophthalmology Physician
  • Whippany, NJ
  • NPI 1942655568
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1063501526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT STREET",
            "address_2": "SUITE 1440",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-928-3105",
            "fax_number": "215-928-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT STREET",
            "address_2": "SUITE 1440",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-928-3105",
            "fax_number": "215-928-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS AND SHIELDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-928-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017615000005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tianyuan Shi, DMD
• Wenyin Shi, MD, PHD
• William Shi, MD
• Yu Shi, M.D.
• Mengkai Shieh, M.D.
• Angela Shields
• Carol L Shields, MD
• Charlotte Nelle Shields
• Denise Lynn Shields, ACNP-BC, CRNP
• Dominique D Shields

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.