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GARY N. SHIELDS DPM LLC
NPI 1477729168
Podiatrist in Litchfield, CT

Active since May 02, 2008
340 BANTAM RD, SUITE 1-B, LITCHFIELD, CT 06759(860) 567-1600 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gary N. Shields Dpm Llc NPPES

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

GARY N. SHIELDS DPM LLC (NPI 1477729168) is a healthcare organization registered as a podiatrist in Litchfield, Connecticut and active in the NPI registry since May 2008. The organization lists Brenda Autry, Agent, as its authorized official.

NPPES Registry Identity

NPI1477729168
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGARY N. SHIELDS DPM LLC
Location Address340 BANTAM RD, SUITE 1-BLitchfield, CT 06759-3318
Mailing AddressPo Box 741240Orange City, FL 32774-1240 · (386) 774-5211
Phone(860) 567-1600
Organization SubpartNo
Authorized OfficialBrenda AutryAgent · (386) 774-5211
Enumeration DateMay 2, 2008
Last NPPES UpdateMay 5, 2009
✔ NPI 1477729168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
340 BANTAM RD, Litchfield, CT 06759
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Other Identifiers 6

Other4624525CT · Aetna
Other6145090001CT · Dmepos
Medicare NSC6145090001CT
Other614459CT · Connecticare
Medicaid041318600FL
Other6240129CT · Cigna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. GARY N SHIELDS DPM
Podiatrist
340 BANTAM RD, SUITE 1-B
LITCHFIELD, CT 06759
Northwest Hills Planning Region (860) 567-1600
DR. CHARLES L.H. STAUB M.D.
Internal Medicine
340 BANTAM RD
LITCHFIELD, CT 06759
Northwest Hills Planning Region (860) 567-9493
PENNY MCEVOY APRN
Nurse Practitioner (Adult Health)
340 BANTAM RD
LITCHFIELD, CT 06759
Northwest Hills Planning Region (860) 567-9493
DR. TERRENCE RYAN MD
Internal Medicine
340 BANTAM RD
LITCHFIELD, CT 06759
Northwest Hills Planning Region (860) 567-9493

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 Gary N. Shields Dpm LLC's NPI number?

The NPI number for Gary N. Shields Dpm LLC is 1477729168. It was assigned to this organization in the NPPES registry on May 2, 2008.

Where is Gary N. Shields Dpm LLC located?

Gary N. Shields Dpm LLC is located at 340 Bantam Rd Suite 1-B, Litchfield, CT 06759. The listed phone number is (860) 567-1600.

What is Gary N. Shields Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Gary N. Shields Dpm LLC was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.