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

Mary Ellen Theresa Shields, MD

Individual provider Surgery Physician · NPI 1285680553

Mary Ellen Theresa Shields, MD is a Surgery Physician in Berea, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

305 Estill St
Berea, KY 40403-1742
Phone: (859) 986-8418
Fax: (859) 986-6568
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 30354 (KY)

Record details

NPI number1285680553
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2006
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022

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