Jann Shiels, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

22985 Issued in AZ

Practice address

1024 N San Francisco St
Suite 105
Flagstaff, AZ 86001-3266

Phone

(928) 779-0341

Fax

(928) 774-4994

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7160/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women Clinic of Northern Arizona

  • Obstetrics & Gynecology Physician
  • Flagstaff, AZ
  • NPI 1780917369
  Medicare reassignment NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235158395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N SAN FRANCISCO ST",
            "address_2": "SUITE 105",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013266",
            "telephone_number": "928-779-0341",
            "fax_number": "928-774-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N SAN FRANCISCO ST",
            "address_2": "SUITE 105",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013266",
            "telephone_number": "928-779-0341",
            "fax_number": "928-774-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELS",
        "first_name": "JANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "22985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "86-0559827",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheridan Children's Healthcare Services of Arizona, Inc.
• Janet Sheridan, MA
• Kathy Sherman, NP
• Thea Sherman, NUTRITION THERAPIST
• Dithi A Shetty, MD
• Amber Kristine Shill, PT, DPT
• Ryan R Shipp
• Pooja Shivananjappa
• Connor Bryant Shott
• Lisa Shows, MS, LPC

• Gynecology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.