Gregory Dawson Shouldice, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

53102 Issued in MA

Practice address

740 Williams St
Pittsfield, MA 01201-7463

Phone

(413) 445-4564

Fax

(413) 448-2727

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1720027188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOULDICE",
        "first_name": "GREGORY",
        "middle_name": "DAWSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "53102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6183298",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PIN",
            "identifier": "M16029",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shields Pet CT at Berkshire Medical Center LLC (Shields PETCT at Berkshire Medical Center)
• Thomas Charles Shoemaker
• Stephanie Shoff
• Kaitlyn Shook
• Rhonda L Shortt, LPN
• Michael J Shreefter, MD
• Reena Shrestha, MD
• Cynthia Shuff
• Sara L Shuff, LICSW
• Danielle Shumway

• Ophthalmology Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.