Mary Ellen Theresa Shields in London - Surgery
Mary Ellen Theresa Shields - NPI 1285680553
Mary Ellen Theresa Shields is a Surgery in London, Kentucky. Mary Ellen Theresa Shields practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mary Ellen Theresa Shields is 1285680553. The last update date is 2022-05-05.
Mary Ellen Theresa Shields's current location address is Po Box 936, London, Kentucky. You can contact this provider via phone number 8599868418 and fax number 8599866568. The mailing address for Mary Ellen Theresa Shields is Po Box 936, London, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Theresa Shields |
|---|---|
| Address | Po Box 936, London, Kentucky |
| Phone Number | 8599868418 |
| Fax Number | 8599866568 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285680553 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2022-05-05 |
Provider Mailing Address Detail
| Address | Po Box 936 |
|---|---|
| City | London |
| State | Kentucky (KY) |
| Post Code | 407430936 |
| Phone Number | 8599868418 |
| Fax Number | 8599866568 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 30354 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64303548 | KY | -- | |
| P00357584 | KY | RRMC |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Ellen Theresa Shields by the Centers for Medicare & Medicaid Services?
The Mary Ellen Theresa Shields has been assigned the NPI (National Provider Identifier) 1285680553 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary Ellen Theresa Shields is located?
The Mary Ellen Theresa Shields is situated at the following address: Po Box 936, London, KY, 407430936.
What is Mary Ellen Theresa Shields's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Ellen Theresa Shields is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285680553 to Mary Ellen Theresa Shields?
The Centers for Medicare & Medicaid Services originally issued the 1285680553 to Mary Ellen Theresa Shields on 2006-05-26.
When was the Mary Ellen Theresa Shields's information last updated?
The Mary Ellen Theresa Shields's information was last updated on 2022-05-05.
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