Healthcare Provider Details
I. General information
NPI: 1962913590
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: 10/23/2017
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
89511-2250
US
IV. Provider business mailing address
5423 RENO CORPORATE DR
RENO NV
89511-2250
US
V. Phone/Fax
- Phone: 775-329-0873
- Fax: 775-329-1026
- Phone: 775-220-0800
- Fax: 775-329-3010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WESLEY
FALCONER
Title or Position: CEO
Credential:
Phone: 775-220-0800