Individual provider Active NPI

David J. Shields, M. D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
National Provider Identifier
1689646010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
62443 Issued in FL
Practice address
5751 Hoover Blvd
Tampa, FL 33634-5340
Phone
(813) 886-8334
Fax
(813) 890-0143
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 62443 FL Primary

Addresses

Primary practice location

5751 Hoover Blvd
Tampa, FL 33634-5340

Mailing address

5751 Hoover Blvd
Tampa, FL 33634-5340
Phone (813) 886-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111215000262 FL Practitioner - Pathology 5799671921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Loma Linda University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruffolo Hooper and Associates MD PAGroup PAC ID 1355324658, 44 clinicians

Practice addresses (Care Compare)

7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Phone (813) 932-2222

Hospital & facility affiliations

  • AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62443FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruffolo Hooper & Associates MD PA Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 1998 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

13685 Doctors Way
Ste 330
Fort Myers, FL 33912
Phone (239) 224-3501

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

5751 Hoover Blvd
Tampa, FL 33634

5755 Hoover Blvd
Tampa, FL 33634

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Interoperability endpoints

  • Direct secure messaging: dshields8152@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 2

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 7

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689646010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345340",
            "telephone_number": "813-886-8334",
            "fax_number": "813-890-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345340",
            "telephone_number": "813-886-8334",
            "fax_number": "813-890-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "62443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.