Teddy D Shields Ii (NPI# 1972666147, PAC ID# 7012800121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1972666147 |
| PAC ID by PECOS | 7012800121 |
| Professional Enrollment ID | I20040203001012 |
| Full Name | Teddy D Shields Ii |
| Organization Legal Name | DOCTORS HEALTH GROUP, INC |
| Address |
333 Red Wolf Blvd First Care Acute Jonesboro AR 72403-9739 |
| Phone Number | 8709728181 |
| Gender | M |
| Credential | DO |
| Graduation Year | 2001 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 7315844586 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040014 | WHITE COUNTY MEDICAL CENTER |
| 040020 | ST BERNARDS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1001 W Parker Rd, First Care Parker Road, Jonesboro, AR 72404-9582 | 8709728181 | DOCTORS HEALTH GROUP, INC |
| 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 | 8709728181 | DOCTORS HEALTH GROUP, INC |
| 1312 1st St, Suite B, Kennett, MO 63857-2526 | 5735592780 | DOCTORS HEALTH GROUP, INC |
| Organization Legal Name | DOCTORS HEALTH GROUP, INC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha D Dill | Nurse Practitioner | Doctors Health Group, Inc | 415 E Matthews, First Care Matthews, Jonesboro, AR 72401-3142 |
| Venita Lynne Ninemire | Nurse Practitioner | Doctors Health Group, Inc | 1995 Hwy 62 412, Highland, AR 72542-9262 |
| Natalie A Engelken | Nurse Practitioner | Doctors Health Group, Inc | 425 W Jackson St, Piggott Family Med, Piggott, AR 72454-1538 |
| Lisa Jo Booker | Nurse Practitioner | Doctors Health Group, Inc | 700 W Keiser, St. Bernards First Care Osceola, Osceola, AR 72370 |
| Meredith Harrison Brewer | Physician Assistant | Doctors Health Group, Inc | 800 S Church St, Suite 203, Jonesboro, AR 72401-4106 |
| Timothy D Mcnamara | Family Medicine | Doctors Health Group, Inc | 1001 W Parker Rd, First Care Parker Road, Jonesboro, AR 72404-9582 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| James A Whitlock | Emergency Medicine | Doctors Health Group, Inc | 1312 1st St, Suite B, Kennett, MO 63857-2526 |
| Lance E Monroe | Family Medicine | Doctors Health Group, Inc | 4000 Linwood Dr A, Paragould, AR 72450-7224 |
| Terry J. Kosinski | Family Medicine | Doctors Health Group, Inc | 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 |
| Street Address |
333 RED WOLF BLVD FIRST CARE ACUTE |
| City | JONESBORO |
| State | AR |
| Zip | 72403-9739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry J. Kosinski | Family Medicine | Doctors Health Group, Inc | 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 |
| William S Palmer | Family Medicine | Doctors Health Group, Inc | 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 |
| Victoria L Mccoy | Nurse Practitioner | Doctors Health Group, Inc | 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 |
| Jordan L Mcintire | Nurse Practitioner | Doctors Health Group, Inc | 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 |
| James F Murrey | Family Medicine | Doctors Health Group, Inc | 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 |
| Bhavesh B Joshi | Family Medicine | Doctors Health Group, Inc | 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 |
| City | JONESBORO |
| Zip Code | 72403 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JONESBORO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Teddy D Shields Ii.
| 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.