Molly Courtwright Shields, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A64145 Issued in CA

Practice address

1661 Soquel Dr Ste E
Santa Cruz, CA 95065-1709

Phone

(831) 476-2444

Fax

(831) 476-0705

NPI assigned

Aug 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Dermatology

Education

Tulane University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology - Pacific, P.C.Group PAC ID 8325946015, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Forefront Dermatology - Pacific, P.C.

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1356535009
  Medicare reassignment Care Compare group NPD
• Dermatology Surgical & Medical Group

  • Dermatology Physician
  • Santa Cruz, CA
  • NPI 1962509109
  NPD
• Forefront Dermatology - Pacific, P.C.

  • Dermatology Physician
  • Upland, CA
  • NPI 1487480448
  NPD
• Forefront Dermatology - Pacific, P.C.

  • Dermatology Physician
  • Santa Cruz, CA
  • NPI 1770361875
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  NPD (past)
• Forefront Dermatology - Pacific, P.C.

  • Dermatology Physician
  • Los Gatos, CA
  • NPI 1861121741
  NPD (past)
• Watsonville Hospital Corporation

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1710958228
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1952302556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR STE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "831-476-2444",
            "fax_number": "831-476-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1661 Soquel Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651709",
            "country_code": "US",
            "telephone_number": "831-476-2444",
            "fax_number": "831-476-0705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 Soquel Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651709",
            "country_code": "US",
            "telephone_number": "831-476-2444",
            "fax_number": "831-476-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MOLLY",
        "middle_name": "COURTWRIGHT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A64145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Sherriff, L.AC., DAOM
• Michael Sherwood
• Glenn Shields
• Iris Shields
• Makayla Elizabeth Joyce Shields
• Kendall Anne Shifflett, MD
• Dion Shillito
• Kia Shinn, DC
• Pamela Shipley, MFT
• Jennifer Shontz, LCSW

• Dermatology Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.