Ted Shields in Jonesboro - Undersea And Hyperbaric Medicine
Ted Shields - NPI 1972666147
Ted Shields is a Undersea And Hyperbaric Medicine in Jonesboro, Arkansas. Ted Shields practices all healthcare services and medical treatments related to Undersea And Hyperbaric Medicine. The NPI Number for Ted Shields is 1972666147. The last update date is 2022-05-27.
Ted Shields's current location address is 1710 Mayfield Drive, Jonesboro, Arkansas. You can contact this provider via phone number 8442150731 and fax number 8886308885. The mailing address for Ted Shields is 1710 Mayfield Drive, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted Shields |
|---|---|
| Address | 1710 Mayfield Drive, Jonesboro, Arkansas |
| Phone Number | 8442150731 |
| Fax Number | 8886308885 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1972666147 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2022-05-27 |
Provider Mailing Address Detail
| Address | 1710 Mayfield Drive |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 72401 |
| Phone Number | 8442150731 |
| Fax Number | 8886308885 |
Provider's Primary Taxonomy Detail
| Speciality | Undersea And Hyperbaric Medicine |
|---|---|
| Taxonomy | 2083P0011X |
| Licence No | E3420 |
|
Definition: A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infect |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E3420 | AR | STATE LICENSE | |
| 148797003 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ted Shields?
The Ted Shields has been issued the NPI (National Provider Identifier) 1972666147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ted Shields?
The Ted Shields is physically situated at 1710 Mayfield Drive, in the city of Jonesboro, state of AR, with the postal code 72401.
What is Ted Shields's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ted Shields is Undersea And Hyperbaric Medicine, and the taxonomy code that classifies this field of practice is 2083P0011X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972666147 to Ted Shields?
The Centers for Medicare & Medicaid Services originally issued the 1972666147 to Ted Shields on 2006-12-19.
When was the Ted Shields's information last updated?
The Ted Shields's information was last updated on 2022-05-27.