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JOSEPH ROMAN SHIELDS IDC
NPI 1497280929
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since April 21, 2017
3166 BARNETT AVE, SAN DIEGO, CA 92110(619) 876-6546 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Roman Shields Idc NPPES

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

JOSEPH ROMAN SHIELDS IDC (NPI 1497280929) is an individual independent duty corpsman provider in San Diego, California, licensed in Ohio (SP409958) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1497280929
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJOSEPH ROMAN SHIELDSCredential: IDC
Location Address3166 BARNETT AVESan Diego, CA 92110-4204
Mailing Address3166 Barnett AveSan Diego, CA 92110-4204 · (619) 876-6546
Phone(619) 876-6546
Sole ProprietorNo
Enumeration DateApril 21, 2017
✔ NPI 1497280929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
License✔ Licensed in OH · SP409958
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
3166 BARNETT AVE, San Diego, CA 92110
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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 Joseph Shields's NPI number?

The NPI number for Joseph Shields is 1497280929. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Joseph Shields located?

Joseph Shields practices at 3166 Barnett Ave, San Diego, CA 92110. The listed phone number is (619) 876-6546.

What is Joseph Shields's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Joseph Shields was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.