JUSTIN L SHIELDS III M.D.
NPI 1255359386
Dermatology - MOHS-Micrographic Surgery in Pensacola, FL
NPI Status: Active since July 17, 2006
Contact Information
540 FONTAINE ST
PENSACOLA, FL
ZIP 32503
Phone: (850) 484-4775
Fax: (850) 484-4775
- Individual
- Male
- Dermatology
- MOHS-Micrographic Surgery
About JUSTIN SHIELDS
This page provides the complete NPI Profile along with additional information for Justin Shields, a provider established in Pensacola, Florida with a medical specialization in Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1255359386 assigned on July 2006. The practitioner's primary taxonomy code is 207ND0101X with license number ME45060 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1255359386
- Provider Name
- JUSTIN L SHIELDS III M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 540 FONTAINE ST PENSACOLA, FL 32503
- Location Phone
- (850) 484-4775
- Location Fax
- (850) 484-4775
- Mailing Address
- PO BOX 1555 GULF BREEZE, FL 32562
- Mailing Phone
- (850) 484-4775
- Mailing Fax
- (850) 484-4775
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-17-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology MOHS-Micrographic Surgery
- Taxonomy Code
- 207ND0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME45060
- License State
- FL
- Taxonomy Description
- The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E17823 | MEDICARE UPIN (02) | FL | |
| 17610 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 5 | 9 | 3 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 5 | 18 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 5 + 1 + 8 + 3 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1255359386 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053475541 | WILLIAM B HENGHOLD MD PA Organization | Specialist | 540 FONTAINE ST PENSACOLA, FL 32503 (850) 474-4775 |
| 1114951449 | JUSTIN L. SHIELDS MD PA Organization | Dermatology (MOHS-Micrographic Surgery) | 540 FONTAINE ST PENSACOLA, FL 32503 (850) 484-4775 |
| 1558696799 | KATIE ELIZABETH SHOWALTER PA Individual | Physician Assistant | 540 FONTAINE ST PENSACOLA, FL 32503 (800) 243-7546 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255359386, enumerated in the NPI registry as an "individual" on July 17, 2006
The provider is located at 540 Fontaine St Pensacola, Fl 32503 and the phone number is (850) 484-4775
The provider's speciality is Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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