Dr. Stephen Wyatt Shield
Allergist & Immunologist
1144 Professional Dr
Williamsburg
, Virginia 23185-3330
Dr. Stephen Wyatt Shield
Allergist & Immunologist
1144 Professional Dr
Williamsburg
, Virginia 23185-3330
(828) 350-2174
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Stephen Wyatt Shield
- Po Box 2086
- Skyland, NC
- Zip : 28776-2086
- Fax : (828) 350-2174
- Phone : (828) 575-2644
Second Address
- Dr. Stephen Wyatt Shield
- 1144 Professional Dr
- Williamsburg, VA
- Zip : 23185-3330
- Fax : (757) 259-0450
- Phone : (757) 259-0443
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 0101049643 | VA |
National Provider Identifier
| NPI | 1073590071 |
|---|---|
| Provider Name | Dr. Stephen Wyatt Shield |
| First Address | Skyland, NC 28776-2086 |
| Second Address | Williamsburg, VA 23185-3330 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2005 |
| Last Update Date | 16/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00Y225A01 | MEDICARE PTAN (01) | VA |
| 1073590071 | (05) | VA |
| 17424 | SENTERA (01) | VA |
| 250532 | ANTHEM (01) | VA |
| 271568 | MAMSI (01) | VA |
| 84330 | SOUTHERN HEALTH (01) | VA |
| E45301 | (02) | VA |
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.