Healthcare Provider Details

I. General information

NPI: 1144249905
Provider Name (Legal Business Name): ERIC J FIELDING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 02/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 E PITTSBURGH ST
GREENSBURG PA
15601-2636
US

IV. Provider business mailing address

717 E PITTSBURGH ST
GREENSBURG PA
15601-2636
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-8004
  • Fax: 724-837-1870
Mailing address:
  • Phone: 724-832-8004
  • Fax: 724-837-1870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberMD027527E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberMD027527E
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberMD027527E
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License NumberMD027527E
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD027527E
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD027527E
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberMD027527E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: