Individual provider Active NPI

Andrew Thomas Shields, MD

  • Nuclear Imaging & Therapy Physician
  • Auburn, WA
National Provider Identifier
1437237898
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
MD00024085 Issued in WA
Practice address
202 N Division St
Plaza One
Auburn, WA 98001-4939
Phone
(206) 963-5339
Fax
(253) 288-2203
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X MD00024085 WA
Nuclear Imaging & Therapy Physician 207UN0902X MD00024085 WA Primary

Addresses

Primary practice location

202 N Division St
Plaza One
Auburn, WA 98001-4939

Mailing address

16243 25TH Ave SW
Burien, WA 98166-2611
Phone (206) 963-5339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20110111000827 WA Practitioner - Nuclear Medicine 3870782550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
University of Washington School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Nuclear Medicine LLCGroup PAC ID 0345472163, 2 clinicians

Practice addresses (Care Compare)

202 N Division St
Plaza One
Auburn, WA 98001-4939

401 15TH Ave SE
Puyallup, WA 98372-3715
Phone (253) 697-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nuclear Medicine LLC Nuclear Cardiology CurrentSince Jan 1, 2014 Accepting new patients

Locations

7 Clyde Rd
Somerset, NJ 08873
Phone (877) 910-3617

202 N Division St
#One
Auburn, WA 98001
Phone (253) 334-6248

401 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1848

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1437237898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16243 25TH AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662611",
            "telephone_number": "206-963-5339",
            "fax_number": "253-288-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "address_2": "PLAZA ONE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "206-963-5339",
            "fax_number": "253-288-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "WA",
            "license": "MD00024085",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "WA",
            "license": "MD00024085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.