SHIELDS AND SHIELDS PC


Address: 840 Walnut Street, Suite 1440, Philadelphia, PA 19107
Phone: 2159283105

SHIELDS AND SHIELDS PC (NPI# 1063501526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063501526
Entity Type Organization
Organization Name SHIELDS AND SHIELDS PC
Practice Address 840 Walnut Street
Suite 1440
Philadelphia
PA 19107
Practice Telephone 2159283105
Practice Fax Number 2159281140
Mailing Telephone 2159283105
Mailing Fax Number 2159281140
Enumeration Date 2006-10-12
Last Update Date 2020-04-20
Authorized Official Name DR. JERRY A SHIELDS (DIRECTOR)
Authorized Official Telephone 2159283105
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207WX0110X Ophthalmology
Specialization: Pediatric Ophthalmology and Strabismus Specialist
Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0017615000005 05

Office Location

Street Address 840 WALNUT STREET
SUITE 1440
City PHILADELPHIA
State PA
Zip Code 19107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194723841 Peter Robert Laibson Ophthalmology 840 Walnut Street, Suite 920 Attn: Corneal Associates, PC, Philadelphia, PA 19107-5109 2005-07-07
1275860140 Arman Mashayekhi Ophthalmology 840 Walnut Street, Suite 1440, Philadelphia, PA 19107 2009-11-12
1922295138 Sara E Lally Ophthalmology 840 Walnut Street, Suite 1440, Philadelphia, PA 19107 2007-10-02
1912107863 Michael Paul Rabinowitz Ophthalmology 840 Walnut Street, Philadelphia, PA 19107 2007-07-19
1578652988 Carol L Shields Ophthalmology 840 Walnut Street, Suite 1440, Philadelphia, PA 19107 2006-10-12
1861581241 Jerry A Shields Ophthalmology 840 Walnut Street, Suite 1440, Philadelphia, PA 19107 2006-10-12
1063508620 Copit Plastic Surgery Associates, Ltd Plastic Surgery 840 Walnut Street, 15th Floor, Philadelphia, PA 19107 2006-10-04
1992890396 Steven Eric Copit Plastic Surgery 840 Walnut Street, 15th Floor, Philadelphia, PA 19107 2006-10-03
1245348150 Steven J Kanoff Ophthalmology 840 Walnut Street, Suite 1230, Philadelphia, PA 19107-5109 2006-08-29
1912936691 Ralph C Eagle Jr. Ophthalmology 840 Walnut Street, Suite 1230, Philadelphia, PA 19107 2006-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386256782 Maria Manquez Hatta Ophthalmology 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 2020-08-18
1821640459 Stephanie Nicole Kletke Ophthalmology 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 2019-07-13
1083105654 Shuai-chun Lin Ophthalmology 5401 Old York Rd Ste 205, Philadelphia, PA 19141-3044 2018-05-19
1285188383 Imran Jivraj Ophthalmology 3737 Chestnut St, Apt 809, Philadelphia, PA 19104-7702 2016-08-08
1063851160 Durga Borkar Ophthalmology 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109 2013-06-21
1205275922 Katherine Elizabeth Uyhazi Ophthalmology 3801 Filbert St Ste 515, Philadelphia, PA 19104 2013-06-15
1548605231 Avni Umesh Badami Ophthalmology 51 N 39th St Ste 515, Philadelphia, PA 19104-2640 2013-05-08
1063755361 Alison Blair Huggins Watson Ophthalmology 840 Walnut St Ste 910, Philadelphia, PA 19107-5109 2013-04-04
1447509807 William Alan Raich Ophthalmology 210 Locust St, Apt. 19ab, Philadelphia, PA 19106-3934 2012-08-31
1780955575 Collazo Ophthalmology & Optometry Ophthalmology 4231 N 5th St, Philadelphia, PA 19140-2602 2012-01-25
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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