Timothy D Shields


Address: 2412 N Commerce, Ardmore, OK 73401-1356

Timothy D Shields (NPI# 1851347546, PAC ID# 2769372275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1851347546
PAC ID by PECOS 2769372275
Professional Enrollment ID I20060916000043
Full Name Timothy D Shields
Address 2412 N Commerce
Ardmore
OK 73401-1356
Gender M
Credential CNA
Graduation Year 2003
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2412 N Commerce, Ardmore, OK 73401-1356

Organization Information

Office Location

Street Address 2412 N COMMERCE
City ARDMORE
State OK
Zip 73401-1356

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Pinky B Pratt Nurse Practitioner Medexpress Primary Care Oklahoma PC 1105 Michelin Rd, Ardmore, OK 73401-1085
Stephanie Sims Nurse Practitioner Medexpress Primary Care Oklahoma PC 1105 Michelin Rd, Ardmore, OK 73401-1085
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Suzanne Tuck Nurse Practitioner Healthworks Medical Group of Oklahoma, P.C. 1105 Michelin Rd, Ardmore, OK 73401-1085
Phillip Nokes Family Practice Healthworks Medical Group of Oklahoma, P.C. 1105 Michelin Rd, Ardmore, OK 73401-1085
Stephen Klassen Physical Therapy Imc of Oklahoma LLC 1105 Michelin Rd, Ardmore, OK 73401-1085
Joel K Troop Orthopedic Surgery Southern Oklahoma Multiple Services Inc P C 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206
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Competitor

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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