DR. DOUGLAS WILLIAM FIELDS (NPI# 1962586248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962586248 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS WILLIAM FIELDS |
| Credential | M.D. |
| Practice Address |
1879 Madison Ave New York NY 10035-2709 |
| Mailing Address |
Po Box 34821 Newark NJ 07101 |
| Practice Telephone | 2124234000 |
| Mailing Telephone | 8005408739 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
191453 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1879 MADISON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235183559 | Theodore Hanley | Specialist | 1879 Madison Ave, New York, NY 10035-2709 | 2006-05-20 |
| 1609127588 | Thorellen Dean Perry | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2012-10-02 |
| 1124379169 | Candice Diaz | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2012-10-01 |
| 1174898274 | Marcine Parris | Licensed Practical Nurse | 1879 Madison Ave, 1, New York, NY 10035-2709 | 2012-03-21 |
| 1558634659 | The Institute for Family Health | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2012-02-21 |
| 1386924777 | Caitlin E. Murphy | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2011-08-17 |
| 1508153412 | Erin M Reiss | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2011-06-30 |
| 1629368402 | Debra S Gross | Dietitian, Registered | 1879 Madison Ave, New York, NY 10035-2709 | 2011-04-13 |
| 1972800589 | Nisha Shandal | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2011-02-16 |
| 1134425945 | Allison Lene Hesterman | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2011-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
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| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1073783486 | Elizabeth Jane Haines | Emergency Medicine | 229 Chrystie Street, Apartment 721, New York, NY 10002-0000 | 2008-03-03 |
| 1407894884 | Haradaya K Hegde | Emergency Medicine | 330 E 33rd St, Apt#10l, New York, NY 10016-9466 | 2006-06-04 |
| 1346239449 | Robert Hoffman | Emergency Medicine | 455 1st Ave, Room 123, New York, NY 10016-9102 | 2005-10-20 |
| 1649702796 | Sarah Iosifescu | Emergency Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2017-03-29 |
| 1467796771 | City Medical of Midtown East Pllc | Emergency Medicine | 1150 3rd Ave, New York, NY 10065-5913 | 2012-11-27 |
| 1154677128 | Nga Quynh Lai | Emergency Medicine | 506 Lenox Ave, Emergency Medicine Department, New York, NY 10037-1802 | 2012-07-27 |
| 1407146095 | Piotr Pawel Pilarski | Emergency Medicine | 462 1st Ave, Room Mn-21, New York, NY 10016-9196 | 2011-04-15 |
| 1245498773 | Diana Tran Vo | Emergency Medicine | 462 1st Ave, Department of Emergency Medicine, New York, NY 10016-9196 | 2008-05-31 |
| 1942410063 | Robert Schwartz | Emergency Medicine | 1305 York Ave, 4th Floor, New York, NY 10021-5663 | 2007-05-24 |
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| 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.