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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017615000005 | 05 |
| Street Address |
840 WALNUT STREET SUITE 1440 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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| 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.