Ted Shields in Jonesboro - Interventional Pain Medicine
Ted Shields - NPI 1972666147
Ted Shields is a Interventional Pain Medicine in Jonesboro, Arkansas. Ted Shields practices all healthcare services and medical treatments related to Interventional Pain 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 |
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Address | 1710 Mayfield Drive, Jonesboro, Arkansas |
Phone Number | 8442150731 |
Fax Number | 8886308885 |
Sole Proprietor | Y |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1972666147 |
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Provider Enumeration Date | 2006-12-19 |
Last Updated Date | 2022-05-27 |
Provider Mailing Address Detail
Address | 1710 Mayfield Drive |
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City | Jonesboro |
State | Arkansas (AR) |
Post Code | 72401 |
Phone Number | 8442150731 |
Fax Number | 8886308885 |
Provider's Primary Taxonomy Detail
Speciality | Interventional Pain Medicine |
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Taxonomy | 208Vp0014X |
Licence No | E3420 |
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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 Interventional Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0014X.
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.