James K Shields, MD
Individual provider Active NPI Family Medicine Physician · Wolcott, IN
NPI 1447211883 · NPPES record last updated Apr 4, 2012
Key facts
- NPI
- 1447211883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01027166A (IN)
- Practice address
- 128 W Market Street
Wolcott, IN 47995 - Phone
- (219) 279-2264
- Fax
- (219) 279-2279
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Family Medicine | Past | Accepting new patients |
| Arnett Clinic, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01027166A | IN | Yes |
Addresses
Primary practice location
128 W Market Street
Wolcott, IN 47995
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000334269 | Other | IN | ANTHEM PROVIDER NUMBER |
| 100196860 | Medicaid | IN |
Other providers in Wolcott, IN
- Animal Health International, Inc.
- Julie A. Foster
- Rosanne R Griggs
- Town of Wolcott
- Tri-County School Corporation
- Trustees of Purdue University
- Wolcott Family Medicine, LLC
All providers in Wolcott, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.