TED SHIELDS D.O. – NPI #1972666147
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

TED SHIELDS is a physician located in JONESBORO, AR. NPPES has assigned the NPI number 1972666147 to TED SHIELDS on December 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name TEDDY DOUGLAS SHIELDS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 4 years ago on May 27, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TED SHIELDS below.

NPI Profile for
TED SHIELDS

NPI Number
1972666147
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TED SHIELDS
Other Name: TEDDY DOUGLAS SHIELDS
Credentials
D.O.
Primary location
1710 MAYFIELD DRIVE
JONESBORO, AR 72401
Phone: (844) 215-0731 Fax: (888) 630-8885
Mailing address
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211-2840
Phone: (501) 346-8116 Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TED SHIELDS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSEARE3420
MEDICAIDAR148797003
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)		 AR E3420
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine		 AR E3420
207PE0004X
- Emergency Medicine / Emergency Medical Services		 AR E3420

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TED SHIELDS is affiliated with the following medical group(s):
  • HOSPITAL
    • BAPTIST MEMORIAL HOSPITAL JONESBORO, INC.
      4800 EAST JOHNSON AVENUE
      JONESBORO, AR 72405
    • BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC
      2100 NORTH SEVENTH STREET
      WEST MEMPHIS, AR 72301
    • FIVE RIVERS MEDICAL CENTER
      2801 MEDICAL CENTER DRIVE
      POCAHONTAS, AR 72455
    • GREAT RIVER MEDICAL CENTER
      1520 N DIVISION STREET
      BLYTHEVILLE, AR 72315
    • ST BERNARDS MEDICAL CENTER
      225 E WASHIINGTON AVENUE
      JONESBORO, AR 72401

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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