MEDICARE: DR. RONALD ERNEST 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
1	174400000X	Specialist	023084	LA
2	207RP1001X	Pulmonary Disease Physician	023084	LA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	023084	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	5H768BD12	OTHER		MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1962498196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD ERNEST FIELDS MD

Provider Business Mailing Address
First Line	:	7777 HENNESSY BLVD STE 701
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4370
Country	:	US
Telephone Number	:	225-765-5864
Fax Number	:	225-214-7003

Provider Business Practice Location Address
First Line	:	7777 HENNESSY BLVD STE 701
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4370
Country	:	US
Telephone Number	:	225-765-5864
Fax Number	:	225-765-2013

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	12/28/2020

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Directions to “ DR. RONALD ERNEST FIELDS MD” Practice Location

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