Dr. Gary N Shields
Podiatrist
340 Bantam Rd Suite 1-B
Litchfield
, Connecticut 06759-3318
Dr. Gary N Shields
Podiatrist
340 Bantam Rd Suite 1-B
Litchfield
, Connecticut 06759-3318
(386) 774-5251
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Gary N Shields
- Po Box 741240
- Orange City, FL
- Zip : 32774-1240
- Fax : (386) 774-5251
- Phone : (386) 774-5211
Second Address
- Dr. Gary N Shields
- 340 Bantam Rd Suite 1-B
- Litchfield, CT
- Zip : 06759-3318
- Fax : (860) 567-1606
- Phone : (860) 567-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000820 | CT |
| Y | 222Z00000X | Podiatrist | 000820 | CT |
National Provider Identifier
| NPI | 1073535456 |
|---|---|
| Provider Name | Dr. Gary N Shields |
| First Address | Orange City, FL 32774-1240 |
| Second Address | Litchfield, CT 06759-3318 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 28/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008003499 | (05) | CT |
| 041318600 | (05) | FL |
| 261444569 | PALMETTO GBA DME (01) | SC |
| 614459 | CONNECTICARE (01) | CT |
| 6145090001 | DMEPOS (01) | CT |
| 6240129 | CINGA (01) | CT |
| T84649 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.