Christopher C Shields, MD

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

M4528 Issued in ID

Practice address

1125 W Alameda Rd
Pocatello, ID 83201-6143

Phone

(208) 237-1151

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Family PracticeAlso: Physical Medicine and Rehabilitation

Education

University of Colorado School of Medicine, Denver, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho Hyperbarics IncGroup PAC ID 0547164923, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.shields.2@11894.direct.athenahealth.com
• Direct secure messaging: christophershields@bmh.medalliesdirect.net

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

• Idaho Hyperbarics Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Pocatello, ID
  • NPI 1386642494
  Medicare reassignment Care Compare group NPD
• BMH, Inc.

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1255539193
  Medicare reassignment NPD
• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  NPD
• BMH Inc.

  • Multi-Specialty Clinic/Center
  • Pocatello, ID
  • NPI 1548727571

  Family Medicine

  NPD
• BMH, Inc.

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1295502995
  NPD
• Family Practice Group, P.a.

  • Cardiac Rehabilitation Clinic/Center
  • Pocatello, ID
  • NPI 1912723214
  NPD (past)
• Portneuf Valley Family Center

  • Professional Counselor
  • Pocatello, ID
  • NPI 1174629976
  NPD (past)
• Safe Haven Health Care LLC

  • Psychiatric Hospital
  • Pocatello, ID
  • NPI 1619208709
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1285633065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016143",
            "telephone_number": "208-237-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016143",
            "telephone_number": "208-237-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M4528",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "ID",
            "license": "M4528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003933100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Shelton
• Ryan R Shelton, MD
• Brady Kyle Shepherd
• Stephen Arthur Sherman, MD
• Scott Shi, PA
• Skyler Shane Shippen, M.D.
• Jo Anna Shotiveyaratana, MA, LPC
• Jessica Shotwell, SLP
• Alex Michael Shreiber, PHARMD
• Shudl LLC

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.
• 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.