Look up the most recent NPI and PECOS records

Paul J Shields

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as PAUL SHIELDS.

Based on the most recent information from CMS, provider Paul J Shields is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1689737967
Provider Type
Individual
Full Name
Shields, Paul J
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
12/18/2006
Last Updated
1/17/2024

Contact Information

Practice Location

400 8th St N, Naples, FL 34102-5519

(239) 649-3316

(239) 430-5596

Mailing Location

2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

(877) 856-3774

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME62050 Florida

Provider Identifiers

ID	Description	Issuer
ID 110058860	Description Other	Issuer RRMC Florida
ID 17878	Description Other	Issuer BCBS Florida
ID 371364400	Description Medicaid	Issuer Unlisted Florida

Paul J Shields

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Hernandez Cabrera, Lazaro

The Medical Group Of South Florida, Inc

Pavan K Anand Md Pa

Poling, Patricia S

Hui, Teng

Meliora Healthcare, Pllc

Lopez, Chanci Delane

Kakaes, Nicoleta

Howland, Jeffrey Joseph

Paola, Frederick A