W J Shields M D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101024156 Issued in VA

Legal business name

W J SHIELDS M D

Practice address

914 Denbigh Blvd
Grafton, VA 23692-2156

Phone

(757) 874-0320

Fax

(757) 989-0276

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By 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

Mrs. Judy A Hadsell

Title

Office Manager

Phone

(757) 874-0320

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• William Jennings Shields, MD

  • Dermatology Physician
  • Grafton, VA
  • NPI 1992768253
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1164691689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2696",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236090696",
            "telephone_number": "757-874-0320",
            "fax_number": "757-989-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 DENBIGH BLVD",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "236922156",
            "telephone_number": "757-874-0320",
            "fax_number": "757-989-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W J SHIELDS M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HADSELL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-874-0320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101024156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "002959",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5969115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jennings Shields, MD
• Yulia N Small, PHARMD
• Catherine D Smithson, LCSW
• Christian L Spoo, PHARMD
• Rhonda T Sproles, LCSW
• Christina Jackson Williams, WHNP-BC
• Krystal Ann Wright, FNP
• Allison Yeaman, MD

• Dermatology Physician in Grafton, VA
• Providers in Grafton, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.