Charles Robert Shields, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

22588 Issued in OK

Practice address

330 S 5TH St
Suite 305
Enid, OK 73701-5825

Phone

(580) 242-1224

Fax

(580) 242-1279

NPI assigned

Oct 5, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972590776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST",
            "address_2": "SUITE 305",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015825",
            "telephone_number": "580-242-1224",
            "fax_number": "580-242-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST",
            "address_2": "SUITE 305",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015825",
            "telephone_number": "580-242-1224",
            "fax_number": "580-242-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "22588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Shepherd Jr., MD
• David W Shepherd, MD
• Molly Tyner Shepherd, RD/LD
• Karber Curren Sheppard
• William Brian Shewey, O.D.
• Scott Lamar Shields, DPM
• Margo Renee Short, M.D.
• Mirannda Lea Shourek
• Ronald Wayne Shreck, M.D.
• Cheryl Reames Shreve, RDLD

• Specialist in Enid, OK
• Providers in Enid, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.