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DR. GARY N SHIELDS DPM NPI 1073535456


NPI Information

NPI: 1073535456
Provider Name: DR. GARY N SHIELDS, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
340 BANTAM RD
SUITE 1-B
LITCHFIELD, CT
ZIP 06759
Phone: (860) 567-1600
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DR. Gary N Shields, DPM is a podiatrist in Litchfield, CT with 46 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Gary N Shields, DPM NPI is 1073535456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1978

The provider's business location address is:

340 BANTAM RD
SUITE 1-B
LITCHFIELD, CT
ZIP 06759-318
Phone: (860) 567-1600
Fax: (860) 567-1606

The NPI 1073535456 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of single thickened skin growth (HCPCS:11055)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 7/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist000820CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16240129OTHERCONNECTICUTCINGA
2261444569OTHERSOUTH CAROLINAPALMETTO GBA DME
3008003499MEDICAIDCONNECTICUT
4614459OTHERCONNECTICUTCONNECTICARE
5041318600MEDICAIDFLORIDA
64380280001MEDICARE NSCFLORIDA
7480001042MEDICARE PINCONNECTICUT
8T84649MEDICARE UPINFLORIDA
96145090001MEDICARE NSCCONNECTICUT
1087646XMEDICARE PINFLORIDA
116145090001OTHERCONNECTICUTDMEPOS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.