Richard D Fields (NPI# 1700827102, PAC ID# 6507895232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1700827102 |
PAC ID by PECOS | 6507895232 |
Professional Enrollment ID | I20050811001015 |
Full Name | Richard D Fields |
Organization Legal Name | PUTNAM COUNTY RURAL HEALTH CLINIC, INC |
Address |
319 Broad St Baxter TN 38544-5117 |
Phone Number | 9318582116 |
Gender | M |
Credential | MD |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1973 |
Primary Specialty | EMERGENCY MEDICINE |
Secondary Specialties | FAMILY PRACTICE |
Group Practice PAC ID | 2860302734 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440059 | COOKEVILLE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
319 Broad St, Baxter, TN 38544-5117 | 9318582116 | PUTNAM COUNTY RURAL HEALTH CLINIC, INC |
Organization Legal Name | PUTNAM COUNTY RURAL HEALTH CLINIC, INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joan L Anthony | Family Practice | Putnam County Rural Health Clinic, Inc | 319 Broad St, Baxter, TN 38544-5117 |
Street Address |
319 BROAD ST |
City | BAXTER |
State | TN |
Zip | 38544-5117 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jacqueline L Swallows | Nurse Practitioner | 319 Broad St, Suite 1, Baxter, TN 38544-5117 | |
Joan L Anthony | Family Practice | Putnam County Rural Health Clinic, Inc | 319 Broad St, Baxter, TN 38544-5117 |
City | BAXTER |
Zip Code | 38544 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | BAXTER + EMERGENCY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.