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NPI Code Detail

MEDICARE: DR. RYAN COURTNEY FIELDS MD

MEDICARE:  DR. RYAN COURTNEY 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
1208600000XSurgery Physician2004032568MO
22086X0206XSurgical Oncology Physician2004032568MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912900440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN COURTNEY FIELDS MD
Provider Business Mailing Address
First Line : PO BOX 7412011
Second Line :
City : CHICAGO
State : IL
Zip : 60674-2011
Country : US
Telephone Number : 314-362-2280
Fax Number : 888-352-8360
Provider Business Practice Location Address
First Line : 4500 FOREST PARK AVE
Second Line : DIV SURG HPB, 5TH FL
City : SAINT LOUIS
State : MO
Zip : 63108-2114
Country : US
Telephone Number : 314-362-2280
Fax Number : 888-352-8360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2005
Last Update Date : 04/17/2025

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Directions to “ DR. RYAN COURTNEY FIELDS MD” Practice Location

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