Individual provider Active NPI

Ruth L Shields, MD

  • General Practice Physician
  • Mobile, AL
National Provider Identifier
1316993488
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4527 Issued in AL
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

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
011846OtherALMEDICARE GROUP NUMBER
1063439065OtherALNPI SITE GROUP PAYEE NUMBER
630000013MedicaidAL

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

LicenseStateTypeSpecialty
00004527ALMDSpecialist
4527ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.