Active NPI
Ruth L Shields, MD
- General Practice Physician
- Mobile, AL
National Provider Identifier
1316993488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4527
- Practice address
- 3151B Midtown Park S
Mobile, AL 36606-4146 - Phone
- (251) 206-8751
- Fax
- (251) 471-9505
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00004527 | AL | |
| General Practice Physician | 208D00000X | 4527 | AL | Primary |
Addresses
Primary practice location
3151B Midtown Park S
Mobile, AL 36606-4146
Mailing address
3151B Midtown Park S
Mobile, AL 36606-4146
Phone (251) 206-8751
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011846 | Other | AL | MEDICARE GROUP NUMBER |
| 1063439065 | Other | AL | NPI SITE GROUP PAYEE NUMBER |
| 630000013 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00004527 | AL | MD | Specialist |
| 4527 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Physicians for Women PC | Specialist | Current | Accepting new patients |
Locations
3715 Dauphin St
Ste 3C
Mobile, AL 36608
Phone (251) 706-1880
3715 Dauphin St
Ste 3B
Mobile, AL 36608
Phone (251) 301-1801
Organizations & group practices 1
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.
-
- Specialist
- Mobile, AL
- NPI 1518914159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1316993488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151B MIDTOWN PARK S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064146",
"telephone_number": "251-206-8751",
"fax_number": "251-471-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151B MIDTOWN PARK S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064146",
"telephone_number": "251-206-8751",
"fax_number": "251-471-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "RUTH",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "00004527",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "4527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "011846",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI SITE GROUP PAYEE NUMBER",
"identifier": "1063439065",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630000013",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.