Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARY RYAN SHIELDS, PA-C
Active Sole ProprietorZACHARY RYAN SHIELDS, PA-C is a Physician Assistant healthcare provider located in MATTOON, Illinois. NPI 1760137921 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MATTOON, IL
Registration Details
- NPI Number
- 1760137921
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2022 (4.4904054751486 yrs)
- Last Updated
- Jan 31, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 HEALTH CENTER DRMATTOON, IL, 619384644Browse IL providers · Browse ZIP 61938
- Phone
- 2172384960
- Fax
- 2172384951
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| STACEY HARMINSON | PA-C | 1710093018 |
| MRS. BETHANY AMELIA YOCHUM | PA-C | 1699923961 |
| ARIELLE A. WOLF | PA-C | 1255683074 |
| MS. CANDIDA ANN HALLEY | PA-C | 1639510423 |
| MICHAEL HEISE | PA | 1740619840 |
| THOMAS DUST | PA-C | 1477984656 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.