Ronald Douglas Shiell
Dermatologist MOHS-Micrographic Surgeon
1481 Ford St Ste 102
Redlands
, California 92373-3916
Ronald Douglas Shiell
Dermatologist MOHS-Micrographic Surgeon
1481 Ford St Ste 102
Redlands
, California 92373-3916
(949) 783-2880
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Ronald Douglas Shiell
- 2285 Corporate Cir Ste 200
- Henderson, NV
- Zip : 89074-7759
- Fax : (949) 783-2880
- Phone : (702) 360-2763
Second Address
- Ronald Douglas Shiell
- 1481 Ford St Ste 102
- Redlands, CA
- Zip : 92373-3916
- Phone : (909) 793-2964
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | G70359 | CA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | G70359 | CA |
National Provider Identifier
| NPI | 1285687384 |
|---|---|
| Provider Name | Ronald Douglas Shiell |
| First Address | Henderson, NV 89074-7759 |
| Second Address | Redlands, CA 92373-3916 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 16/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G703592 | INDIVIDUAL PTAN NO. CA. (01) | CA |
| 00G703594 | (02) | CA |
| 00G703595 | (02) | CA |
| 00G703596 | (02) | CA |
| 070016367 | RR MEDICARE FOR NORTHERN CALIF (01) | CA |
| F08741 | (02) | CA |
| P00369772 | RAILROAD MEDICARE (01) | AZ |
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.