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NPI Code Detail

MEDICARE: RICHARD FIELDS MD

MEDICARE: RICHARD FIELDS MD
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
1207QA0505XAdult Medicine Physician17368TN
2207P00000XEmergency Medicine Physician17368TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00327914OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250014552OTHERKYPASSPORT
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
43144641OTHERTNBCBS OF TN

General Provider Information

NPI Number : 1700827102
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD FIELDS MD
Provider Business Mailing Address
First Line : 319 BROAD ST
Second Line :
City : BAXTER
State : TN
Zip : 38544-5117
Country : US
Telephone Number : 931-858-2116
Fax Number : 931-858-2117
Provider Business Practice Location Address
First Line : 319 BROAD ST
Second Line :
City : BAXTER
State : TN
Zip : 38544-5117
Country : US
Telephone Number : 931-858-2116
Fax Number : 931-858-2117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 01/23/2020

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Directions to “ RICHARD FIELDS MD” Practice Location

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