Individual
DR. GREGORY S SHIELDS
Active
Individual
DR. GREGORY S SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
234818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027018401
UNIVERA
—
01
—
00027018405
UNIVERA
—
01
—
00027018407
UNIVERA
—
01
—
000528027001
BLUE SHIELD WNY
—
01
—
000528027005
BLUE SHIELD WNY
—
01
—
000528027007
BLUE SHIELD WNY
—
01
—
0142859
GHI
—
05
—
02625074
—
NY
01
—
050901000062
FIDELIS
—
01
—
1612805
INDEPENDENT HEALTH
—
01
—
195358FF
PREFERRED CARE
—
01
—
2348183W
WORKERS COMPENSATION
NY
01
—
4193669
GHI
—
01
—
P00196037
RR MEDICARE
—
01
—
P00209389
RR MEDICARE
—
01
—
P010234818
BLUE CHOICE
—
01
—
P020234818
BLUE SHIELD ROCHESTER
—
01
—
P040234818
BLUE SHIELD ROCHESTER
—
Enumeration date
05/02/2006
Last updated
05/06/2008
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