Individual provider Active NPI

John A Shields, M.D.

  • Hematology & Oncology Physician
  • Reno, NV
National Provider Identifier
1811912330
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
3362 Issued in NV
Practice address
5423 Reno Corporate Dr.
Reno, NV 89511-2250
Phone
(775) 329-0873
Fax
(775) 329-1026
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 3362 NV Primary

Addresses

Primary practice location

5423 Reno Corporate Dr.
Reno, NV 89511-2250

Mailing address

5423 Reno Corporate Dr
Reno, NV 89511-2250
Phone (775) 329-0873

Other identifiers 1

IdentifierTypeStateIssuer
002016019MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20110906000725 NV Practitioner - Hematology/Oncology 0941191910 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John a Shields MD and Steven a Schiff MD a Professional Corporation Hematology & Oncology CurrentSince Jul 1, 1966 Accepting new patients

Locations

5423 Reno Corporate Dr
Reno, NV 89511
Phone (775) 329-0873

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1811912330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112250",
            "telephone_number": "775-329-0873",
            "fax_number": "775-329-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 RENO CORPORATE DR.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112250",
            "telephone_number": "775-329-0873",
            "fax_number": "775-329-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NV",
            "license": "3362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016019",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.