MEDICARE: JOSHUA THOMAS FIELDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	82818	WI

General Provider Information

NPI Number	:	1578143228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA THOMAS FIELDS

Provider Business Mailing Address
First Line	:	14755 W CAPITOL DR STE 100
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53005-2318
Country	:	US
Telephone Number	:	262-781-3065
Fax Number	:

Provider Business Practice Location Address
First Line	:	14755 W CAPITOL DR STE 100
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53005-2318
Country	:	US
Telephone Number	:	262-781-3065
Fax Number	:	262-781-3835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	06/01/2025

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Directions to “ JOSHUA THOMAS FIELDS ” Practice Location

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