Organization Active NPI

Shields Medical Associates, LLP

  • Internal Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1164555231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD072307L Issued in PA
Legal business name
SHIELDS MEDICAL ASSOCIATES, LLP
Practice address
5325 Northgate Dr
Suite 205
Bethlehem, PA 18017-9411
Phone
(610) 691-3501
Fax
(610) 691-3502
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David A Shields, M.D.
Title
Partner
Phone
(610) 691-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD072307L PA Primary

Addresses

Primary practice location

5325 Northgate Dr
Suite 205
Bethlehem, PA 18017-9411

Mailing address

5325 Northgate Dr
Suite 205
Bethlehem, PA 18017-9411
Phone (610) 691-3501

Other identifiers 2

IdentifierTypeStateIssuer
02417400OtherPACAPITAL BLUE CROSS
0999441OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5325 Northgate Dr
Ste 205
Bethlehem, PA 18017
Phone (610) 691-3501

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164555231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR",
            "address_2": "SUITE 205",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179411",
            "telephone_number": "610-691-3501",
            "fax_number": "610-691-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR",
            "address_2": "SUITE 205",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179411",
            "telephone_number": "610-691-3501",
            "fax_number": "610-691-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-691-3501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD072307L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02417400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "0999441",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.