EDDIE W SHIELDS M.D. NPI 1003896630

NPI Information

  • NPI: 1003896630
  • Provider Name: EDDIE W SHIELDS, M.D.
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5 EXECUTIVE CENTER CT
    LITTLE ROCK, AR
    ZIP 72211
  • Phone: (501) 227-5210

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NPI Details

Eddie W Shields, M.D. is an allergy immunology in Little Rock, AR with 29 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Eddie W Shields, M.D. NPI is 1003896630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY MEDICAL COLLEGE
Graduation Year:1996

The provider's business location address is:

5 EXECUTIVE CENTER CT
LITTLE ROCK, AR
ZIP 72211-375
Phone: (501) 227-5210
Fax: (855) 656-7325

The NPI 1003896630 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), Power Mobility Devices.

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.

  • Test for allergy using allergenic extract (HCPCS:95004)
  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Test for allergy using allergenic extract injected into skin (HCPCS:95024)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)

The enumeration date for this NPI number is 1/19/2006 and was last updated on 7/20/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyN-8292ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A008OTHERARKANSASCHAMPUS
2129121001MEDICAIDARKANSAS

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: 3/30/2025

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