Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Jeffrey Shields, DO

Individual provider Anesthesiology Physician · NPI 1679681167

Charles Jeffrey Shields, DO is an Anesthesiology in Providence, Utah. Qualified in 2002, 24 years ago. Practices with Interwest Anesthesia Associates LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
24
Licensed in
UT
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

560 W 465 N Ste 604
Providence, UT 84332-8006
Phone: (435) 753-1600
Fax: (435) 753-9521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 9379328-1204 (UT)

Record details

NPI number1679681167
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 26, 2006
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address560 W 465 N Ste 604, Providence, UT 84332-8006

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Interwest Anesthesia Associates Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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