JUSTIN L SHIELDS III M.D.
NPI 1255359386
Dermatology - MOHS-Micrographic Surgery in Pensacola, FL

Active since July 17, 2006
540 FONTAINE ST, PENSACOLA, FL 32503(850) 484-4775(850) 484-4775 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin L Shields Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN L SHIELDS III M.D. (NPI 1255359386) is an individual mohs-micrographic surgery provider in Pensacola, Florida, licensed in Florida (ME45060) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1255359386
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameJUSTIN L SHIELDS IIICredential: M.D.
Location Address540 FONTAINE STPensacola, FL 32503-2019
Mailing AddressPo Box 1555Gulf Breeze, FL 32562-1555 · (850) 484-4775 · Fax (850) 484-4775
Fax(850) 484-4775
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255359386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in FL · ME45060
Definition
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.
540 FONTAINE ST, Pensacola, FL 32503

Other Identifiers 2

Medicare UPINE17823FL
Medicare ID-Type Unspecified17610FL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
540 FONTAINE ST
PENSACOLA, FL 32503
Dermatology (MOHS-Micrographic Surgery)
540 FONTAINE ST
PENSACOLA, FL 32503
Physician Assistant
540 FONTAINE ST
PENSACOLA, FL 32503
Oral & Maxillofacial Surgery
540 FONTAINE ST
PENSACOLA, FL 32503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Shields's NPI number?

The NPI number for Justin Shields is 1255359386. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Justin Shields located?

Justin Shields practices at 540 Fontaine St, Pensacola, FL 32503. The listed phone number is (850) 484-4775.

What is Justin Shields's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Justin Shields was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.