Provider Demographics
NPI:1114929890
Name:SHIELDS, JOHN PATRICK (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:SHIELDS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 ALLEGHENY CTR
Mailing Address - Street 2:8TH FL AGH PSYCHIATRIC ASSOCS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5255
Mailing Address - Country:US
Mailing Address - Phone:412-330-4000
Mailing Address - Fax:412-330-4366
Practice Address - Street 1:4 ALLEGHENY CTR
Practice Address - Street 2:8TH FL AGH PSYCHIATRIC ASSOCS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5255
Practice Address - Country:US
Practice Address - Phone:412-330-4000
Practice Address - Fax:412-330-4366
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS010797L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012553840001Medicaid
PAOS010797LOtherMED LIC NUMBER
PAOS010797LOtherMED LIC NUMBER
PABS6922505OtherFED DEA REG NUMBER
PAOS010797LOtherMED LIC NUMBER