GARY STEPHEN FIELDS (NPI# 1780668335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780668335 |
| Entity Type | Individual |
| Full Name | GARY STEPHEN FIELDS |
| Credential | D.P.M. |
| Practice Address |
125 History Dr Carrollton GA 30117-3969 |
| Practice Telephone | 7708323546 |
| Practice Fax Number | 7708323518 |
| Mailing Telephone | 7708323546 |
| Mailing Fax Number | 7708323518 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2010-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000434 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000133834A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497880728 | Gary Vincent Fields | Pharmacist | 102 Easton Rd, Nazareth, PA 18064-3011 | 2007-02-23 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| Street Address |
125 HISTORY DR |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265888937 | William Clark | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2016-05-11 |
| 1497042386 | Cortlandt Davis | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2011-06-30 |
| 1013061357 | West Georgia Podiatry Assoc. | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2007-01-23 |
| 1215911870 | Kenneth M. Danis | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245394519 | David Howard Eisenberg | Podiatrist | 2572 Tarpley Rd, Suite 100, Carrollton, TX 75006-2328 | 2006-12-21 |
| 1356341614 | Guy Harris Langlo | Podiatrist | 100 Professional Pl, Suite 101, Carrollton, GA 30117-3874 | 2005-07-28 |
| 1407354442 | Carrollton Foot Center, Pllc | Podiatrist | 4221 Medical Pkwy Ste 450, Carrollton, TX 75010-4542 | 2018-01-24 |
| 1720530017 | Krl Foot and Ankle, PC | Podiatrist | 1428 W Hebron Pkwy, 130, Carrollton, TX 75010-6345 | 2016-11-02 |
| 1265888937 | William Clark | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2016-05-11 |
| 1497042386 | Cortlandt Davis | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2011-06-30 |
| 1124299672 | S Rick Miller D P M Professional Corporation | Podiatrist | 2150 N Josey Ln, #202, Carrollton, TX 75006-2991 | 2008-03-12 |
| 1013061357 | West Georgia Podiatry Assoc. | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2007-01-23 |
| 1831266006 | Kevin Duane Myer | Podiatrist | 2150 N Josey Ln, Suite 202, Carrollton, TX 75006-2991 | 2006-11-30 |
| 1215911870 | Kenneth M. Danis | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2005-12-06 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on GARY STEPHEN FIELDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.