NPIMap

Individual provider Active NPI

Ted Shields, D.O.

  • Interventional Pain Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1972666147
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
E3420 Issued in AR
Practice address
1710 Mayfield Drive
Jonesboro, AR 72401
Phone
(844) 215-0731
Fax
(888) 630-8885
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X E3420 AR
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X E3420 AR
Interventional Pain Medicine Physician 208VP0014X E3420 AR Primary

Addresses

Primary practice location

1710 Mayfield Drive
Jonesboro, AR 72401

Mailing address

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 346-8116

Other identifiers 2

IdentifierTypeStateIssuer
E3420OtherARSTATE LICENSE
148797003MedicaidAR

Other names 1

  • Dr. Teddy Douglas Shields Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203001012 AR Practitioner - Emergency MedicinePractitioner - Family Practice 7012800121 Reassigns benefits to 3 organizations
Practice locations: Batesville, AR

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1710 Mayfield Dr
Jonesboro, AR 72401-4563
Phone (501) 773-6993

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

Hospital & facility affiliations

  • Elite Home Health Home health agency, Jonesboro, AR, CCN 047145
  • Elite Home Health Home health agency, Salem, AR, CCN 047115
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118
  • White River Medical Center Hospital, Batesville, AR, CCN 040119
  • Lawrence Memorial Hospital Hospital, Walnut Ridge, AR, CCN 041309
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Regional Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Apr 1, 2020 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center Emergency Medical Services Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Pain Treatment Centers of America, PLLC Interventional Pain Medicine CurrentSince Apr 1, 2020 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
Jonesboro Ambulatory Surgery Center, LLC Past Accepting new patients
Ozarks Medical Center Interventional Pain Medicine Past Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

195 Hospital Dr
Ste D
Cherokee Village, AR 72529
Phone (870) 257-6040

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 933-1823

1710 Mayfield Dr
Jonesboro, AR 72401
Phone (870) 275-4927

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

108 N Shackleford Rd
Ste 100
Little Rock, AR 72211

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

1312 1st St
Ste B
Kennett, MO 63857
Phone (573) 559-2780

Organizations & group practices 12

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1972666147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-346-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 MAYFIELD DRIVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "844-215-0731",
            "fax_number": "888-630-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "TED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AR",
            "license": "E3420",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "AR",
            "license": "E3420",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AR",
            "license": "E3420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E3420",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148797003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEDDY",
            "last_name": "SHIELDS",
            "middle_name": "DOUGLAS",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.