MEDICARE: JOY SHIELDS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	35062688A	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619961562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY SHIELDS MD

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD STE 360
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 SHARON RD
Second Line	:	SUITE D
City	:	CIRCLEVILLE
State	:	OH
Zip	:	43113-1498
Country	:	US
Telephone Number	:	740-420-8422
Fax Number	:	740-420-6270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	11/09/2020

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Directions to “ JOY SHIELDS MD” Practice Location

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