Glenn Patrick Shields
Medical Specialty
Professional ID
- NPI: 1538149877
- PECOS ID: 0042371247
- Enrollment ID: I20081205000743
- Credential(MD, DO, DPM):
- Medical School: Tulane University School Of Medicine
- Medical School Graduation Year: 1996
Hospital Service
- Hospital CCN1: 050242
- Business Name (LBN)1: Dominican Hospital
- Hospital CCN2: 050194
- Business Name (LBN)2: Watsonville Community Hospital
- Hospital CCN3: 050714
- Business Name (LBN)3: Sutter Maternity Surgery Center Of Santa Cruz
Medical Practices
- Organization Name: Sutter Bay Medical Foundation
- Group Practice ID assigned by PECOS: 4284538778
- Number of Group Practice member: 2407
Location
- Address1: 1661 Soquel Dr
- Address2: Suite F
- City: Santa Cruz
- State: California
- Zip Code: 95065
- Phone Number: (831)460-6042
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):