Search › Arkansas › 208VP0014X
Ted Shields, D.O
NPI 1972666147 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1710 Mayfield Drive
Jonesboro, AR 72401 - Phone
- (844) 215-0731
- Fax
- (888) 630-8885
- Organisation at this address
- Independence Anesthesia Llc
Pain Treatment Centers Of America, Pllc
Mayfield Ambulatory Surgery Center, Llc
Jonesboro Ambulatory Surgery Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 208VP0014X
208VP0014X
- Also registered as
- 207PE0004X
2083P0011X - Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas