Healthcare Provider Details

I. General information

NPI: 1861514580
Provider Name (Legal Business Name): JOHN A SHIELDS MD AND STEVEN A SCHIFF MD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5423 RENO CORPORATE DR
RENO NV
89511
US

IV. Provider business mailing address

5423 RENO CORPORATE DR
RENO NV
89511-2250
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-0873
  • Fax: 775-329-1026
Mailing address:
  • Phone: 775-220-0800
  • Fax: 775-329-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number3362
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNV

VIII. Authorized Official

Name: WESLEY FALCONER
Title or Position: CEO
Credential:
Phone: 775-220-0800