Active NPIIndividual provider

Dr. Gary N Shields, DPM

Podiatrist in Litchfield, Connecticut

NPI Number1073535456
Practice location
340 Bantam RD, Suite 1-B, Litchfield, CT 06759-3318
Fax
860-567-1606
Last updated
July 28, 2009

Gary N Shields is a Podiatrist based in Litchfield, CT. Gary N Shields practices in Litchfield, CT and has the professional credentials of DPM. The NPI Number for Gary N Shields is 1073535456 and holds a License No. 000820 (CT). The current practice location address for Gary N Shields is 340 Bantam RD, Suite 1-B, Litchfield, CT 06759-3318 and can be reached out via phone at 860-567-1600 and via fax at 860-567-1606.

Provider Profile Details

NPI Number
1073535456
Provider Name
Gary N Shields
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
340 Bantam RD, Suite 1-B, Litchfield, CT 06759-3318
Phone Number
860-567-1600
Fax Number
860-567-1606
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2006
Last Update Date
July 28, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 Bantam RD
Suite 1-B
Litchfield, CT 06759-3318
Zip
06759-3318
Phone Number
860-567-1600
Fax Number
860-567-1606
Litchfield, CT 06759Get directions →

Provider Business Mailing Address Details

Address
Po Box 741240
Orange City, FL 32774-1240
City
Orange City
State
FL
Zip
32774-1240
Phone Number
386-774-5211
Fax Number
386-774-5251

License Information

License Number
000820
License State
CT
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gary N Shields, DPM?

The NPI number of Dr. Gary N Shields, DPM is 1073535456. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary N Shields, DPM?

Dr. Gary N Shields, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in CT under license number 000820.

Where does Dr. Gary N Shields, DPM practice?

The practice location is 340 Bantam RD, Suite 1-B, Litchfield, CT 06759-3318. The office can be reached at 860-567-1600 (phone) or 860-567-1606 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073535456 directly on the NPPES registry website.

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