J H Shields MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

41636 Issued in IA

Legal business name

J H SHIELDS MD PC

Practice address

4500 Utica Ridge Rd
Unity Point Health-Trinity
Bettendorf, IA 52722

Phone

(563) 742-5000

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Jacob H Shields, M.D.NPI 1336450279

Title

President

Phone

(815) 404-6664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob H Shields, MD

  • Anesthesiology Physician
  • Silvis, IL
  • NPI 1336450279

  IA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1508276015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5854 N NICKERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312426",
            "telephone_number": "815-404-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 UTICA RIDGE RD",
            "address_2": "UNITY POINT HEALTH-TRINITY",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-742-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J H SHIELDS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-404-6664",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "41636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Irwin, DC
• Thomas Paul Irwin Jr., DMD
• Lauren Ashley Isaacson, LMHC
• Elizabeth Isbell, P.T.
• Jonathan Ryan Isgrig, OD
• Debbie Lynn James, LMHC, NCC
• Elizabeth A James, PA-C
• Joan Elizabeth James, MD
• Allyson Jansen
• Erica M Jansen, MOT, OTR/L

• Anesthesiology Physician in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Anesthesiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.