Male or Other

Peter G. Shields MD

Medical Oncology Physician in Columbus, OH(View on Map)

Full Name

Peter Gary Shields MD

NPI Number

1033119896

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/22/2005

Specialties

(Taxonomies)

Code

207RX0202X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

35.098508

Contact
Information

Purpose

Mailing
Location

Address

700 ACKERMAN RD STE 2120
460 W 10TH AVE

City

Columbus
Columbus

State

OH
OH

Postal Code

43202-1559
43210-1240

Country

US
US

Telephone Number

(614) 293-5066
(614) 293-6529

Identifiers

Identifier

0059898

Identifier State

OH

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

pshields45610@direct.osumc.edu

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

460 W 10th AveColumbus, OH432101240US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2024

Provider Address

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