DR. GARY LEE FIELDS (NPI# 1710958129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710958129 |
Entity Type | Individual |
Full Name | DR. GARY LEE FIELDS |
Credential | BS DC LMT |
Practice Address |
4900 New Hwy 68 Madisonville TN 37354 |
Mailing Address |
Po Box 1074 Madisonville TN 37354 |
Practice Telephone | 4234421244 |
Mailing Telephone | 4234421244 |
Enumeration Date | 2006-02-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 111N00000X | Chiropractor | DC0000000814 | TN | Chiropractic Providers |
X | 225700000X | Massage Therapist | MT0000004004 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUE CROSS | 4066684 | 01 |
RR MEDICARE | P00115609 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497880728 | Gary Vincent Fields | Pharmacist | 102 Easton Rd, Nazareth, PA 18064-3011 | 2007-02-23 |
1780668335 | Gary Stephen Fields | Podiatrist | 125 History Dr, Carrollton, GA 30117-3969 | 2005-12-06 |
Street Address |
4900 NEW HWY 68 |
City | MADISONVILLE |
State | TN |
Zip Code | 37354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
1548427586 | Chota Community Health Services | Clinic/Center | 4798 New Highway 68, Madisonville, TN 37354 | 2008-05-19 |
Find all providers in zip 37354 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104942614 | Robert Francis Mccay | Chiropractor | 920 South Main St, Madisonville, KY 42431 | 2007-03-22 |
1255469987 | John Thomas Stachurski V | Chiropractor | 2720 N Main St, Madisonville, KY 42431-9470 | 2007-03-02 |
1396880951 | Woodrow W. Gwinn Jr. | Chiropractor | 3912 Highway 411, Madisonville, TN 37354-4428 | 2007-02-21 |
1720125719 | Madisonville Chiropractic Clinic, Inc. | Chiropractor | 216 Highway 21, Madisonville, LA 70447-9676 | 2007-01-31 |
1598819963 | James M Kington Psc | Chiropractor | 285 South Main Street, Madisonville, KY 42431 | 2007-01-23 |
1780747360 | Jessica Smiley Hedrick | Chiropractor | 4793 New Highway 68, Madisonville, TN 37354-2134 | 2006-12-18 |
1073610143 | Betty Melanie Vincent | Chiropractor | 329 North Main Street, Madisonville, KY 42431 | 2006-09-20 |
1326157504 | Michael R Seibert | Chiropractor | 38 Ridgewood Professional Court, Madisonville, KY 42431-0024 | 2006-08-30 |
1467489294 | Donald W. Greve | Chiropractor | 1350 S Main St, Madisonville, KY 42431-3380 | 2006-06-27 |
1174512784 | James Mcminnus Kington | Chiropractor | 258 S Main St, Madisonville, KY 42431-2558 | 2005-10-17 |
Find all providers in MADISONVILLE |
City | MADISONVILLE |
Zip Code | 37354 |
Please comment or provide details below to improve the information on DR. GARY LEE 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.