Dr. Scott L. Shields, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

189 Issued in OK

Legal business name

DR. SCOTT L. SHIELDS, P.C.

Practice address

3330 NW 56TH St
Suite 600
Oklahoma City, OK 73112-4479

Phone

(405) 947-8041

Fax

(405) 947-8043

NPI assigned

Nov 13, 2014

Organization subpart

Yes

Parent organization

DR. SCOTT L. SHIELDS, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Scott L Shields, DPMNPI 1437133436

Title

Owner

Phone

(580) 237-3338

Specialties & licenses 1

Addresses

Other names 1

• Total Foot & Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr Scott L Shields PC

  • Podiatrist
  • Enid, OK
  • NPI 1194848606

  O20070920000786

  Same enrollment

Part of

Dr Scott L Shields PC

Locations

Practitioners 1

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

• Scott Lamar Shields, DPM

  • Podiatrist
  • Enid, OK
  • NPI 1437133436
  NPD Authorized official

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1689070047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-947-8041",
            "fax_number": "405-947-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-947-8041",
            "fax_number": "405-947-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SCOTT L. SHIELDS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. SCOTT L. SHIELDS, P.C.",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-237-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.